Elena P. Vitug M.D., Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A44349 Issued in CA

Legal business name

ELENA P. VITUG M.D., INC.

Practice address

502 Euclid Ave
Suite 201
National City, CA 91950-2931

Phone

(619) 475-6204

Fax

(619) 475-5174

NPI assigned

Jan 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elena Penaflor Vitug, M.D.NPI 1285746214

Title

President

Phone

(619) 475-6204

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elena P Vitug, M.D.

  • Pediatrics Physician
  • La Mesa, CA
  • NPI 1285746214
  NPD (past) Authorized official
• Lisa Dabu, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Bronx, NY
  • NPI 1881128254
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1043367162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BAYONA LOOP",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107967",
            "telephone_number": "619-475-6204",
            "fax_number": "619-475-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 EUCLID AVE",
            "address_2": "SUITE 201",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502931",
            "telephone_number": "619-475-6204",
            "fax_number": "619-475-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA P. VITUG M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "VITUG",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "PENAFLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-475-6204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A44349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in National City, CA
• Providers in National City, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.