South Bay Internal Medicine and Family Practice Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G98162 Issued in CA

Legal business name

SOUTH BAY INTERNAL MEDICINE AND FAMILY PRACTICE GROUP INC

Practice address

374 H St
Suite 202
Chula Vista, CA 91910-5547

Phone

(619) 426-4546

Fax

(619) 426-7198

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Noli A. CavaNPI 1265453435

Title

Medical Director

Phone

(619) 426-4546

Specialties & licenses 2

Addresses

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

Tax ID family

South Bay Internal Med Family Prac GRP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Bay Internal Medicine and Family Practice

  • Non-Pharmacy Dispensing Site
  • San Diego, CA
  • NPI 1386914422
  NPD tax ID

Locations

Practitioners 2

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

• Noli A. Cava, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1265453435
  Medicare reassignment NPD Authorized official
• Teddy M Yap, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1699938779
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208736000000",
    "number": "1174706345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 H ST",
            "address_2": "SUITE 202",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105547",
            "telephone_number": "619-426-4546",
            "fax_number": "619-426-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 H ST",
            "address_2": "SUITE 202",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105547",
            "telephone_number": "619-426-4546",
            "fax_number": "619-426-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY INTERNAL MEDICINE AND FAMILY PRACTICE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-04-21",
        "status": "A",
        "authorized_official_last_name": "CAVA",
        "authorized_official_first_name": "NOLI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "619-426-4546"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G98162",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G98162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Bay Family Medical Group, Inc
• South Bay Foot & Ankle Specialists, Inc.
• South Bay Geriatric and Internal Medicine Inc
• South Bay Hearing & Balance
• South Bay Internal Medical GRP Inc
• South Bay Mediquipment Inc
• South Bay OBGYN
• South Bay Pediatric Dental Group
• South Bay Physical Medicine, Inc.
• South Bay Serenity and Guidance

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; 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.