NPIMap

Individual provider Active NPI

Ernesto Tiznado-Garcia, MD

  • Developmental - Behavioral Pediatrics Physician
  • Chula Vista, CA
National Provider Identifier
1568495703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
A45183 Issued in CA
Practice address
1635 3Rd Ave
Suite L
Chula Vista, CA 91911-5882
Phone
(619) 425-8901
Fax
(619) 425-8902
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X A45183 CA Primary

Addresses

Primary practice location

1635 3Rd Ave
Suite L
Chula Vista, CA 91911-5882

Mailing address

1635 3Rd Ave
Suite L
Chula Vista, CA 91911-5882
Phone (619) 425-8901

Other identifiers 1

IdentifierTypeStateIssuer
00A451831MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A45183CAMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Past Accepting new patients
Rady Children's Hospital San Diego Past Accepting new patients
Paradise Valley Hospital Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Scripps Health Past Accepting new patients
Clinicas de Salud del Pueblo, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ernesto.tiznadogarcia.p1@direct.cdsdp.nextgenshare.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568495703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 3RD AVE",
            "address_2": "SUITE L",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919115882",
            "telephone_number": "619-425-8901",
            "fax_number": "619-425-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 3RD AVE",
            "address_2": "SUITE L",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919115882",
            "telephone_number": "619-425-8901",
            "fax_number": "619-425-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIZNADO-GARCIA",
        "first_name": "ERNESTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "CA",
            "license": "A45183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A451831",
            "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 Jul 8, 2007; 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.