Organization Active NPI

Seydel & Sanchez General Surgery, Inc

  • Medical Specialty Clinic/Center
  • Chula Vista, CA
National Provider Identifier
1629175948
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
SEYDEL & SANCHEZ GENERAL SURGERY, INC
Practice address
754 Medical Center CT # 203
Chula Vista, CA 91911
Phone
(619) 656-6493
Fax
(619) 656-5727
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edward Ruben Sanchez, MD
Title
Vice-President
Phone
(619) 656-6493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

754 Medical Center CT # 203
Chula Vista, CA 91911

Mailing address

754 Medical Center CT Ste 203
Chula Vista, CA 91911-6656
Phone (619) 656-6493

Other identifiers 1

IdentifierTypeStateIssuer
00G136440MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Seydel Sanchez General Surgery Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629175948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 MEDICAL CENTER CT STE 203",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116656",
            "telephone_number": "619-656-6493",
            "fax_number": "619-656-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 MEDICAL CENTER CT # 203",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91911",
            "telephone_number": "619-656-6493",
            "fax_number": "619-656-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYDEL & SANCHEZ GENERAL SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "RUBEN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "619-656-6493",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G136440",
            "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 Aug 22, 2020; 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.