Eastlake Family Medical Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A 6433 Issued in CA

Legal business name

EASTLAKE FAMILY MEDICAL INC.

Practice address

2452 Fenton Street
Suite 301
Chula Vista, CA 91914

Phone

(619) 946-4073

Fax

(619) 946-7243

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Maria De Los Angeles Oseguera, M.D.NPI 1487627907

Title

President

Phone

(619) 946-4073

Specialties & licenses 1

Addresses

Other names 1

• Eastlake Family Medical Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Maria De Los Angeles Oseguera, M.D.

  • Family Medicine Physician
  • Chula Vista, CA
  • NPI 1487627907
  Medicare reassignment Care Compare group Authorized official
• Edward William Schumaker, DO

  • Family Medicine Physician
  • Chula Vista, CA
  • NPI 1184616872
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1124101985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 FENTON STREET",
            "address_2": "SUITE 301",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91914",
            "telephone_number": "619-946-4073",
            "fax_number": "619-946-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 FENTON STREET",
            "address_2": "SUITE 301",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91914",
            "telephone_number": "619-946-4073",
            "fax_number": "619-946-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAKE FAMILY MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "OSEGUERA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DE LOS ANGELES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-946-4073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A 6433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastlake Family Medical Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eagles Wings Home Care Inc.
• Trevor Michael Earl, PA-C
• Early Connections Therapy, Inc
• East Lake Family Dentistry
• East Lake Medical, LLC
• Eastlake Laser Eye Associates
• Eastlake Optometry Inc.
• Eastlake Sleep Center
• Eastlake Surgery Center
• Eastlake Urgent Care a Professional Medical Corporation

• Family Medicine Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.