Individual provider Active NPI

Ovidiu Alb, M.D.

  • Family Medicine Physician
  • Chula Vista, CA
National Provider Identifier
1356335731
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C52597 Issued in CA
Practice address
480 4TH Ave Ste 202
Chula Vista, CA 91910-4412
Phone
(619) 427-3361
Fax
(619) 427-6821
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C52597 CA Primary

Addresses

Primary practice location

480 4TH Ave Ste 202
Chula Vista, CA 91910-4412

Mailing address

480 4TH Ave Ste 202
Chula Vista, CA 91910-4412
Phone (619) 427-3361

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081128000051 CA Practitioner - Family Practice 7214097856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clara Lucy Polak MD IncGroup PAC ID 0345347191, 9 clinicians

Practice addresses (Care Compare)

22 W 35TH St
Suite 101
National City, CA 91950-7926
Phone 6194273361213

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C52597CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clara Lucy Polak, M.D. Inc. Family Medicine CurrentSince Aug 13, 2008 Accepting new patients
Scripps Health Past Accepting new patients
Indiana Health Centers Inc Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients

Locations

480 Fourth Ave
Ste 202
Chula Vista, CA 91910
Phone (619) 427-3361

22 W 35th St
Ste 101
National City, CA 91950
Phone (619) 415-5817

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: oalb105737@scrippshlth.medalliesdirect.net

Organizations & group practices 4

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 2

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1356335731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 4TH AVE STE 202",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104412",
            "telephone_number": "619-427-3361",
            "fax_number": "619-427-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 4TH AVE STE 202",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104412",
            "telephone_number": "619-427-3361",
            "fax_number": "619-427-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALB",
        "first_name": "OVIDIU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C52597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.