Individual provider Active NPI

Rick T Chac, M.D.

  • Obstetrics & Gynecology Physician
  • Chula Vista, CA
National Provider Identifier
1538347760
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A105379 Issued in CA
Practice address
660 Old Telegraph Canyon Rd
Chula Vista, CA 91910-6587
Phone
(619) 482-2400
Fax
(619) 482-2411
NPI assigned
Feb 11, 2008
Last updated
Jun 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A105379 CA Primary

Addresses

Primary practice location

660 Old Telegraph Canyon Rd
Chula Vista, CA 91910-6587

Mailing address

660 Old Telegraph Canyon Rd
Chula Vista, CA 91910-6587
Phone (619) 482-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130321000083 CA Practitioner - Obstetrics/Gynecology 9830334986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arizona College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

660 Old Telegraph Canyon Rd
Chula Vista, CA 91910-6587
Phone (619) 482-2400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
San Marcos Medical Group Inc Obstetrics & Gynecology CurrentSince Mar 23, 2014 Accepting new patients
Scripps Health Current Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
San Marcos Medical Group Inc. Past Accepting new patients
Scripps Health Past Accepting new patients
Rady Children's Hospital San Diego Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients

Locations

14980 Summit Ave
Ste 230
Fontana, CA 92336
Phone (909) 803-1160

7965 Sierra Ave
Fontana, CA 92336
Phone (909) 356-4459

742 W Highland Ave
Sn Bernrdno, CA 92405
Phone (909) 881-7320

Interoperability endpoints

  • Direct secure messaging: rchac80870@scrippshlth.medalliesdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1538347760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 OLD TELEGRAPH CANYON RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106587",
            "telephone_number": "619-482-2400",
            "fax_number": "619-482-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 OLD TELEGRAPH CANYON RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106587",
            "telephone_number": "619-482-2400",
            "fax_number": "619-482-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAC",
        "first_name": "RICK",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A105379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.