CCTC Investments

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CCTC INVESTMENTS

Practice address

4579 Maple Ave Ste 1
La Mesa, CA 91941-3154

Phone

(619) 253-6451

NPI assigned

Dec 3, 2018

Organization subpart

No

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

Authorized official

Name

Enrique Chung

Title

Cfo

Phone

(619) 253-6451

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1053881003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 HOPLAND CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131438",
            "telephone_number": "619-253-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4579 MAPLE AVE STE 1",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413154",
            "telephone_number": "619-253-6451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6244 El Cajon Blvd Ste 29",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921153918",
            "country_code": "US",
            "telephone_number": "888-628-6680",
            "fax_number": "888-628-6680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CCTC INVESTMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "619-253-6451"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Giselle Castro
• Catherine Schlaht DDS and Marey E. Stone DDS
• Caroline Guerrero Cauchi, O.D.
• Nela Cavelis, LCSW
• Cliff Cayetano
• Amy Denise Cedario
• Center for Ambulatory Surgical Care
• Maja Ceranic, PMHNP
• Aldin Jimmy Baal Cerillo, OTD, OTR/L
• Certified Hand Solutions Inc

• Nurse Practitioner in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.