Organization Active NPI

Erick H. Alayo Medical Corporation

  • Specialist
  • Chula Vista, CA
National Provider Identifier
1588899512
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A107506 Issued in CA
Legal business name
ERICK H. ALAYO MEDICAL CORPORATION
Practice address
353 Church Ave
Suite a
Chula Vista, CA 91910-3906
Phone
(619) 585-8883
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Dr. Erick H Alayo, M.D.NPI 1841454758
Title
President
Phone
(619) 585-8883

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A107506 CA Primary

Addresses

Primary practice location

353 Church Ave
Suite a
Chula Vista, CA 91910-3906

Mailing address

353 Church Ave Ste a
Chula Vista, CA 91910-3906
Phone (619) 585-8883

Other identifiers 1

IdentifierTypeStateIssuer
1588899512MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090915000290 CA Part B Supplier - Clinic/Group Practice 3779639885 Receives reassigned benefits from 1 practitioner
Practice locations: Chula Vista, CA

National Provider Directory

National Provider Directory

Locations

400 E St
Chula Vista, CA 91910
Phone (619) 292-1115

353 Church Ave
#A
Chula Vista, CA 91910
Phone (619) 585-8883

463 N Magnolia Ave
El Cajon, CA 92020
Phone (619) 359-8380

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": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1588899512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 CHURCH AVE STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103906",
            "telephone_number": "619-585-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 CHURCH AVE",
            "address_2": "SUITE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103906",
            "telephone_number": "619-585-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICK H. ALAYO MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "ALAYO",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-585-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A107506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588899512",
            "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 Feb 5, 2010; 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.