Organization Active NPI

Medi-Excel

  • Health Maintenance Organization
  • Chula Vista, CA
National Provider Identifier
1295158335
Registry record updated Jan 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
9330486 Issued in CA
Legal business name
MEDI-EXCEL
Doing business as
Mediexcel Health Plan
Practice address
750 Medical Center CT
Suite 2
Chula Vista, CA 91911-6634
Phone
(619) 421-1659
NPI assigned
Jan 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2014

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

Authorized official

Name
Mr. Jim Arriola
Title
Coo
Phone
(619) 421-1659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 9330486 CA Primary

Addresses

Primary practice location

750 Medical Center CT
Suite 2
Chula Vista, CA 91911-6634

Mailing address

750 Medical Center CT
Suite 2
Chula Vista, CA 91911-6634
Phone (619) 421-1659

Other names 1

  • Mediexcel Health Plan Doing business as

National Provider Directory

National Provider Directory

Locations

750 Medical Center Ct
Ste 2
Chula Vista, CA 91911
Phone (619) 421-1659

NPI Registry JSON

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

{
    "created_epoch": "1390608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390608000000",
    "number": "1295158335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MEDICAL CENTER CT",
            "address_2": "SUITE 2",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116634",
            "telephone_number": "619-421-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MEDICAL CENTER CT",
            "address_2": "SUITE 2",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116634",
            "telephone_number": "619-421-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-EXCEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-25",
        "last_updated": "2014-01-25",
        "status": "A",
        "authorized_official_last_name": "ARRIOLA",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "619-421-1659",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "9330486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mediexcel Health Plan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 25, 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.