Organization Active NPI

Chula Vista Womens Care Inc

  • Obstetrics & Gynecology Physician
  • Chula Vista, CA
National Provider Identifier
1487787248
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CHULA VISTA WOMENS CARE INC
Practice address
752 Medical Center CT Ste 106
Chula Vista, CA 91911-6659
Phone
(619) 482-8406
Fax
(619) 482-6656
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Dr. Schubert Jusay Atiga, MDNPI 1033138714
Title
Owner
Phone
(619) 482-0820

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

752 Medical Center CT Ste 106
Chula Vista, CA 91911-6659

Mailing address

752 Medical Center CT Ste 106
Chula Vista, CA 91911-6659
Phone (619) 482-8406

Other names 1

  • lifetime womens healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120725000784 CA Part B Supplier - Clinic/Group Practice 2466618004 Receives reassigned benefits from 1 practitioner
Practice locations: Chula Vista, CA

National Provider Directory

National Provider Directory

Locations

752 Medical Center Ct
Ste 106
Chula Vista, CA 91911
Phone (619) 482-8406

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1487787248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 MEDICAL CENTER CT STE 106",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116659",
            "telephone_number": "619-482-8406",
            "fax_number": "619-482-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 MEDICAL CENTER CT STE 106",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116659",
            "telephone_number": "619-482-8406",
            "fax_number": "619-482-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHULA VISTA WOMENS CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "ATIGA",
        "authorized_official_first_name": "SCHUBERT",
        "authorized_official_middle_name": "JUSAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-482-0820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lifetime womens healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 28, 2018; 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.