Tricare Outpatient Clinic Chula Vista

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TRICARE OUTPATIENT CLINIC CHULA VISTA

Practice address

644 Naples St
Chula Vista, CA 91911-1636

Phone

(619) 744-5355

Fax

(619) 744-5391

NPI assigned

Jul 13, 2007

Organization subpart

No

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

Authorized official

Name

Judy Marie Montano

Title

Medical Administrative Officer

Phone

(619) 744-5354

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1063611580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 NAPLES ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111636",
            "telephone_number": "619-744-5355",
            "fax_number": "619-744-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 NAPLES ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111636",
            "telephone_number": "619-744-5355",
            "fax_number": "619-744-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICARE OUTPATIENT CLINIC CHULA VISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "MONTANO",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "619-744-5354"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen A Tregoning, C.P.O.
• Jocelyn Trejo Fierros
• Raul Trejo, MD
• Denise A Trent, RN,NP
• Emmanuel Triana
• Tricare Outpatient Clinic Chula Vista
• Rebecca Anne Triebold, PA-C
• Tam Trieu
• Jennifer Trimai, PA-C
• Jeremy J Trimble, PSY.D.

• Primary Care Clinic/Center in Chula Vista, CA
• Providers in Chula Vista, 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 Jul 13, 2007; 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.