Organization Active NPI

Vitali Aizin, M.D. Inc.

  • Cardiovascular Disease Physician
  • Chula Vista, CA
National Provider Identifier
1407097447
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A82761 Issued in CA
Legal business name
VITALI AIZIN, M.D. INC.
Practice address
321 E St
Chula Vista, CA 91910-2667
Phone
(619) 823-0948
Fax
(619) 370-3924
NPI assigned
Mar 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Dr. Vitali Aizin, M.D.NPI 1366545733
Title
President
Phone
(619) 823-0948

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A82761 CA Primary

Addresses

Primary practice location

321 E St
Chula Vista, CA 91910-2667

Mailing address

PO Box 121619
Chula Vista, CA 91912-6319
Phone (619) 427-8646

Other identifiers 1

IdentifierTypeStateIssuer
1407097447MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090629000297 CA Part B Supplier - Clinic/Group Practice 9830240001 Receives reassigned benefits from 1 practitioner
Practice locations: Chula Vista, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1237680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1407097447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121619",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919126319",
            "telephone_number": "619-427-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102667",
            "telephone_number": "619-823-0948",
            "fax_number": "619-370-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALI AIZIN, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-22",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "AIZIN",
        "authorized_official_first_name": "VITALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-823-0948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A82761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407097447",
            "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 Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.