Active NPI
Southbay Cardiovascular Medical Center, Inc
- Interventional Cardiology Physician
- Chula Vista, CA
National Provider Identifier
1396771671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A74999 | Other | CA | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Chula Vista, CA
- NPI 1881661536
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
- South Bay Pediatric Dental Group
- South Bay Physical Medicine, Inc.
- South Bay Serenity and Guidance
- South Bay Skin & Cancer Medical Group, Inc.
- South Bay Surgical Associates Medical Group Inc.
- Southbay Neurological Med GR
- Southern California Anesthesia Services, LLC
- Southern California Fatty Liver Center Inc
- Southern California Health Providers Medical GRP Inc
- Southern Regional Resource Center
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.