NPIMap

Organization Active NPI

Puja Chitkara M.D. a Medical Corporation

  • Rheumatology Physician
  • Chula Vista, CA
National Provider Identifier
1700202207
Registry record updated Jun 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A97619 Issued in CA
Legal business name
PUJA CHITKARA M.D. A MEDICAL CORPORATION
Practice address
765 Medical Center CT
Suite 216
Chula Vista, CA 91911-6600
Phone
(619) 623-3000
NPI assigned
Mar 10, 2014
Last updated
Jun 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2014

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

Authorized official

Name
Dr. Puja Chitkara, M.D.NPI 1871718189
Title
Owner
Phone
(619) 289-9145

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
Rheumatology Physician 207RR0500X A97619 CA Primary

Addresses

Primary practice location

765 Medical Center CT
Suite 216
Chula Vista, CA 91911-6600

Mailing address

3830 Valley Centre Dr
Suite 705-815
San Diego, CA 92130-3320
Phone (619) 289-9145

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140422001768 CA Part B Supplier - Clinic/Group Practice 6103058359 Receives reassigned benefits from 7 practitioners
Practice locations: Chula Vista, CA; National City, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

3444 Kearny Villa Rd
Ste 400
San Diego, CA 92123
Phone (619) 623-3000

3830 Valley Centre Dr
Ste 705815
San Diego, CA 92130

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404000000000",
    "number": "1700202207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 VALLEY CENTRE DR",
            "address_2": "SUITE 705-815",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303320",
            "telephone_number": "619-289-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 MEDICAL CENTER CT",
            "address_2": "SUITE 216",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116600",
            "telephone_number": "619-623-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUJA CHITKARA M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-06-29",
        "status": "A",
        "authorized_official_last_name": "CHITKARA",
        "authorized_official_first_name": "PUJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-289-9145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A97619",
            "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 Jun 29, 2014; 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.