Martin Kabongo, M.D., Apc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARTIN KABONGO, M.D., APC

Practice address

1040 Tierra del Rey Ste 107
Chula Vista, CA 91910-7865

Phone

(619) 248-9555

Fax

(619) 479-6726

NPI assigned

Oct 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Martin Kabongo, M.D.

Title

Medical Doctor

Phone

(619) 861-5314

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1437554979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 TIERRA DEL REY STE 107",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107865",
            "telephone_number": "619-248-9555",
            "fax_number": "619-479-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 TIERRA DEL REY STE 107",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107865",
            "telephone_number": "619-248-9555",
            "fax_number": "619-479-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN KABONGO, M.D., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "KABONGO",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "619-861-5314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marsh, M.ED, ED.S
• Linda Helen Marshall, FNP-C
• Mary Ann Marshall, RN
• Martha E Lozano, MD, Inc.
• Elvira Martin del Campo, MFT
• Anthony Martin, BA
• Ariadna Martin
• Jessica Martin
• Kerry Maree Martin, CMPSS
• Paul A Martin, DDS

• Family Medicine Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.