NPIMap

Organization Active NPI

Preventive Care Solutions Inc

  • Health Service Clinic/Center
  • Chula Vista, CA
National Provider Identifier
1184041980
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
BS2014005590 Issued in CA
Legal business name
PREVENTIVE CARE SOLUTIONS INC
Practice address
1565 Mendocino Dr
Unit 160
Chula Vista, CA 91911-6052
Phone
(619) 208-6318
Fax
(619) 337-0956
NPI assigned
Mar 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Fernanda Ceballos
Title
Cfo
Phone
(619) 208-6318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X BS2014005590 CA Primary

Addresses

Primary practice location

1565 Mendocino Dr
Unit 160
Chula Vista, CA 91911-6052

Mailing address

1565 Mendocino Dr
Unit 160
Chula Vista, CA 91911-6052
Phone (619) 208-6318

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1184041980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 MENDOCINO DR",
            "address_2": "UNIT 160",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116052",
            "telephone_number": "619-208-6318",
            "fax_number": "619-337-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 MENDOCINO DR",
            "address_2": "UNIT 160",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116052",
            "telephone_number": "619-208-6318",
            "fax_number": "619-337-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE CARE SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "CEBALLOS",
        "authorized_official_first_name": "FERNANDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "619-208-6318"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "BS2014005590",
            "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 Mar 18, 2014; 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.