Individual provider Active NPI

Alan Kuriakose John, M.D.

  • Interventional Cardiology Physician
  • Chula Vista, CA
National Provider Identifier
1346669116
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A139341 Issued in CA
Practice address
765 Medical Center CT Ste 211
Chula Vista, CA 91911-6600
Phone
(619) 616-2100
Fax
(619) 616-2104
NPI assigned
Apr 9, 2014
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A139341 CA Primary

Addresses

Primary practice location

765 Medical Center CT Ste 211
Chula Vista, CA 91911-6600

Mailing address

2160 S 1St Ave
Maywood, IL 60153-3328

Other practice location 1

1200 N State St
CT-A7D
Los Angeles, CA 90033-1029
Phone (323) 226-7556

Other identifiers 1

IdentifierTypeStateIssuer
AJ3232267556MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220829003175 CA Practitioner - Interventional Cardiology 0042594392 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Drexel University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Vascular Centers of AmericaGroup PAC ID 5991175481, 16 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians
Cardiovascular Institute of San Diego IncGroup PAC ID 0749337160, 20 clinicians

Practice addresses (Care Compare)

1233 Plumas St
Yuba City, CA 95991-3410
Phone (530) 715-2900

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

765 Medical Ctr CT
Chula Vista, CA 91911-6600
Phone 6196162100110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
86.63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A139341CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Vascular Centers of America Interventional Cardiology CurrentSince Jun 7, 2023 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 1, 2022 Accepting new patients
Cardiovascular Institute of San Diego Inc Interventional Cardiology CurrentSince Sep 6, 2022 Accepting new patients
Image One a Medical Corp PastSince Jan 7, 2024 Accepting new patients
Heart and Vascular Centers of America, Inc. Interventional Cardiology Past Accepting new patients

Locations

3257 Professional Dr
Ste C
Auburn, CA 95602
Phone (530) 802-0601

3247 Esplanade
Ste 165
Chico, CA 95973
Phone (530) 715-2900

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

765 Medical Center Ct
Ste 211
Chula Vista, CA 91911
Phone (619) 216-3113

865 Third Ave
Ste 133
Chula Vista, CA 91911
Phone (619) 428-1330

1625 E Main St
Ste 201
El Cajon, CA 92021
Phone (619) 486-6512

320 Santa Fe Dr
Ste 105
Encinitas, CA 92024
Phone (760) 436-9292

488 E Valley Pkwy
Ste 107
Escondido, CA 92025
Phone (760) 432-8800

8898 La Mesa Blvd
La Mesa, CA 91942

980 Fulton Ave
Sacramento, CA 95825
Phone (530) 715-2900

292 Euclid Ave
Ste 210
San Diego, CA 92114
Phone (619) 262-7523

412 Washington St
San Diego, CA 92103

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

8705 Complex Dr
San Diego, CA 92123
Phone (858) 565-6000

8707 Complex Dr
San Diego, CA 92123
Phone (619) 334-3787

8787 Complex Dr
Ste 210
San Diego, CA 92123

955 Boardwalk
Ste 100
San Marcos, CA 92078
Phone (760) 471-0200

1233 Plumas St
Yuba City, CA 95991
Phone (530) 715-2900

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ajohn125803@direct.luhs.org
  • Direct secure messaging: alan.john@cvisd.directbygreenway.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1346669116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 MEDICAL CENTER CT STE 211",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116600",
            "telephone_number": "619-616-2100",
            "fax_number": "619-616-2104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N State St",
            "address_2": "CT-A7D",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900331029",
            "country_code": "US",
            "telephone_number": "323-226-7556",
            "fax_number": "323-226-2657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "ALAN",
        "middle_name": "KURIAKOSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A139341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AJ3232267556",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.