Southwest Pulmonary Medical Group a Medical Corporation

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

A33913 Issued in CA

Legal business name

SOUTHWEST PULMONARY MEDICAL GROUP A MEDICAL CORPORATION

Doing business as

South Bay Pulmonary Medical Group
Southbay Pulmonary Medical Group

Practice address

841 Kuhn Dr, Suite 200
Chula Vista, CA 91914-4523

Phone

(619) 482-7301

Fax

(619) 482-7302

NPI assigned

Jul 26, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jose Antonio Lira, MDNPI 1356319446

Title

President

Phone

(619) 482-7301

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• South Bay Pulmonary Medical Group Doing business as
• Southbay Pulmonary Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Jose A. Lira, M.D.

  • Pulmonary Disease Physician
  • Chula Vista, CA
  • NPI 1356319446
  Medicare reassignment NPD Authorized official
• Edward William Greene

  • Internal Medicine Physician
  • Chula Vista, CA
  • NPI 1265401368
  Medicare reassignment NPD

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1497755011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 KUHN DR, SUITE 200",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144523",
            "telephone_number": "619-482-7301",
            "fax_number": "619-482-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 KUHN DR, SUITE 200",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144523",
            "telephone_number": "619-482-7301",
            "fax_number": "619-482-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PULMONARY MEDICAL GROUP A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "LIRA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-482-7301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A33913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A339130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bay Pulmonary Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southbay Pulmonary Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 (Southern Caregiver Resource Center)
• Bethany Souza
• Daryl J Spak, MD
• Correan Spano
• Jaime Spano, SLP
• Adjana Sparkes

• Pulmonary Disease Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.