Alma Ceballos
Individual provider Active NPI Contractor · Chula Vista, CA
NPI 1295942233 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295942233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 1124 Bay Blvd Ste D
Chula Vista, CA 91911-7155 - Phone
- (619) 420-3620
- Fax
- (619) 420-8722
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | CA | Yes |
Addresses
Primary practice location
1124 Bay Blvd Ste D
Chula Vista, CA 91911-7155
Mailing address
2371 Corte Isla Unit 52
Chula Vista, CA 91914-4097
Phone (619) 869-7767
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.