South Bay Internal Medical GRP Inc

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

A20713 Issued in CA

Legal business name

SOUTH BAY INTERNAL MEDICAL GRP INC

Practice address

480 4TH Ave Ste 206
Chula Vista, CA 91910-4412

Phone

(619) 425-9802

Fax

(619) 425-1488

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Crawford

Title

Office Manager

Phone

(619) 425-9802

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Blanca Estela Cardenas, FNP, MSN, PHN, RN

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1003133984
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1245429828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 4TH AVE STE 206",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104412",
            "telephone_number": "619-425-9802",
            "fax_number": "619-425-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 4TH AVE STE 206",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104412",
            "telephone_number": "619-425-9802",
            "fax_number": "619-425-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY INTERNAL MEDICAL GRP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-425-9802",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A20713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Bay Endodontics
• 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 Medicine and Family Practice Group Inc
• South Bay Mediquipment Inc
• South Bay OBGYN
• South Bay Pediatric Dental Group
• South Bay Physical Medicine, Inc.

• Legal Medicine in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.