Individual provider Active NPI

Carlos Fernando Vallbona, PA-C

  • Physician Assistant
  • Chula Vista, CA
National Provider Identifier
1093768855
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
18386 Issued in CA
Practice address
256 Landis Ave
3Rd Floor
Chula Vista, CA 91910-2650
Phone
(619) 426-9600
Fax
(619) 426-4112
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 18386 CA Primary

Addresses

Primary practice location

256 Landis Ave
3Rd Floor
Chula Vista, CA 91910-2650

Mailing address

256 Landis Ave
3Rd Floor
Chula Vista, CA 91910-2650
Phone (619) 426-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18386CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093768855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 LANDIS AVE",
            "address_2": "3RD FLOOR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102650",
            "telephone_number": "619-426-9600",
            "fax_number": "619-426-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 LANDIS AVE",
            "address_2": "3RD FLOOR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102650",
            "telephone_number": "619-426-9600",
            "fax_number": "619-426-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLBONA",
        "first_name": "CARLOS",
        "middle_name": "FERNANDO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "18386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.