Organization Active NPI

Chula Vista Imaging

  • Radiology Clinic/Center
  • Chula Vista, CA
National Provider Identifier
1619160439
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
FAC61770 Issued in CA
Legal business name
CHULA VISTA IMAGING
Practice address
374 H St Ste 103
Chula Vista, CA 91910-5547
Phone
(619) 427-1145
Fax
(619) 427-1186
NPI assigned
Aug 24, 2007
Last updated
Aug 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

Name
Miss Leticia Gonzalez
Title
Manager
Phone
(619) 427-1145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X FAC61770 CA Primary

Addresses

Primary practice location

374 H St Ste 103
Chula Vista, CA 91910-5547

Mailing address

374 H St Ste 103
Chula Vista, CA 91910-5547
Phone (619) 427-1145

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1619160439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 H ST STE 103",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105547",
            "telephone_number": "619-427-1145",
            "fax_number": "619-427-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 H ST STE 103",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105547",
            "telephone_number": "619-427-1145",
            "fax_number": "619-427-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHULA VISTA IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-427-1145",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "FAC61770",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 24, 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.