Organization Active NPI

Southbay Cardiovascular Medical Center, Inc

  • Interventional Cardiology Physician
  • Chula Vista, CA
National Provider Identifier
1396771671
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
SOUTHBAY CARDIOVASCULAR MEDICAL CENTER, INC
Practice address
480 4TH Ave
Suite 401
Chula Vista, CA 91910-4410
Phone
(619) 427-8646
Fax
(619) 425-7128
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paulo C. Guillinta, M.D.NPI 1881661536
Title
Provider
Phone
(619) 427-8646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

480 4TH Ave
Suite 401
Chula Vista, CA 91910-4410

Mailing address

480 4TH Ave
Suite 401
Chula Vista, CA 91910-4410
Phone (619) 427-8646

Other identifiers 1

IdentifierTypeStateIssuer
A74999OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

480 Fourth Ave
Ste 401
San Diego, CA 92101
Phone (619) 427-8646

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396771671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 4TH AVE",
            "address_2": "SUITE 401",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104410",
            "telephone_number": "619-427-8646",
            "fax_number": "619-425-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 4TH AVE",
            "address_2": "SUITE 401",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104410",
            "telephone_number": "619-427-8646",
            "fax_number": "619-425-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBAY CARDIOVASCULAR MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUILLINTA",
        "authorized_official_first_name": "PAULO",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "619-427-8646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A74999",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.