Active NPI
Marty Chumpitaz
- Case Manager/Care Coordinator
- Vista, CA
National Provider Identifier
1669672317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 952815615
- Practice address
- 1000 Vale Terrace Dr
Vista, CA 92084-5218 - Phone
- (760) 407-1220
- Fax
- (760) 414-3711
- NPI assigned
- Jul 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 952815615 | CA | Primary |
Addresses
Primary practice location
1000 Vale Terrace Dr
Vista, CA 92084-5218
Mailing address
3597 Cameo Dr Unit 2
Oceanside, CA 92056-6359
Phone (619) 889-2297
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 952815615 | CA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1669672317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3597 CAMEO DR UNIT 2",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920566359",
"telephone_number": "619-889-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 VALE TERRACE DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920845218",
"telephone_number": "760-407-1220",
"fax_number": "760-414-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUMPITAZ",
"first_name": "MARTY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-20",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "952815615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
- Christina Marie Chorazy, PA-C
- David Noyce Chrisman Jr., DDS
- Christian Bentley, M.D. a Professional Corporation (MPOWR Orthopaedic Health)
- Christopher Henninger D M D Inc (North County Cosmetic and Implant Dentistry)
- Tyler Christy
- William Chun, RPH
- Khin-Poh Oscar Chung, O.D.
- Jessica Cincotta
- Calin Cionca
- City of Vista California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.