Active NPI
Ricardo A Indacochea, MD
- Pediatrics Physician
- Chula Vista, CA
National Provider Identifier
1033375563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A110199
- Practice address
- 1400 E Palomar St
Chula Vista, CA 91913-1800 - Phone
- (858) 499-2600
- NPI assigned
- Aug 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A110199 | CA | Primary |
| Internal Medicine Physician | 207R00000X | A110199 | CA |
Addresses
Primary practice location
1400 E Palomar St
Chula Vista, CA 91913-1800
Mailing address
1400 E Palomar St
Chula Vista, CA 91913-1800
Phone (858) 499-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A110199 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Chula Vista Medical Center | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| Sharp Rees-Stealy Medical Center | Past | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Sharp Coronado Hospital and Healthcare Center | Past | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Grossmont Hospital Corporation | Past | Accepting new patients |
Locations
1400 E Palomar St
Chula Vista, CA 91913
Phone (619) 397-3077
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
Interoperability endpoints
- rindacochea34529@sharphealthcare.direct-ci.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Skilled Nursing Facility
- Chula Vista, CA
- NPI 1538142369
-
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
-
- Physical Therapist
- Chula Vista, CA
- NPI 1407096589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1033375563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E PALOMAR ST",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919131800",
"telephone_number": "858-499-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E PALOMAR ST",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919131800",
"telephone_number": "858-499-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INDACOCHEA",
"first_name": "RICARDO",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-04",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A110199",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A110199",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
- Imr Americas
- In-Motion PT Inc
- Inadvance Medicine Associates West, P. C.
- Frances Noemy Inda
- Priscilla Stephanie Inda, PA-C
- Carmelina Infantino
- Infertility Obstetrics & Gynecology Medical Group of Chula Vista
- Emily Parani Ingco
- Alexis Taylor Ingrassia, AMFT
- Inhale Exhale by Ma and Shammas Psychotherapy Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.