Active NPI
Nicholas M Gistaro DMD Apc
- General Practice Dentistry
- Chula Vista, CA
National Provider Identifier
1154582666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 029282
- Legal business name
- NICHOLAS M GISTARO DMD APC
- Practice address
- 549 H Street
Suite a
Chula Vista, CA 91910 - Phone
- (619) 426-6891
- Fax
- (619) 426-0913
- NPI assigned
- Jun 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nicholas M. Gistaro
- Title
- Owner - Operator
- Phone
- (619) 426-6891
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 029282 | CA | Primary |
Addresses
Primary practice location
549 H Street
Suite a
Chula Vista, CA 91910
Mailing address
549 H St
Suite a
Chula Vista, CA 91910-4302
Phone (619) 426-6891
National Provider Directory
National Provider DirectoryLocations
549 H St
Ste A
Chula Vista, CA 91910
Phone (619) 426-6891
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- San Diego, CA
- NPI 1649686346
-
- Dentist
- Chula Vista, CA
- NPI 1245575802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1154582666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "549 H ST",
"address_2": "SUITE A",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919104302",
"telephone_number": "619-426-6891",
"fax_number": "619-426-0913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "549 H STREET",
"address_2": "SUITE A",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "91910",
"telephone_number": "619-426-6891",
"fax_number": "619-426-0913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICHOLAS M GISTARO DMD APC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-18",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "GISTARO",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER - OPERATOR",
"authorized_official_telephone_number": "619-426-6891",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "029282",
"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 Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.