NPIMap

Organization Active NPI

J Chase Foundation

Doing business as Health Care Integrated Services

  • Clinic/Center
  • Chula Vista, CA
National Provider Identifier
1720450844
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
J CHASE FOUNDATION
Doing business as
Health Care Integrated Services
Practice address
2220 Otay Lakes Rd
Suite 502-121
Chula Vista, CA 91915-1004
Phone
(818) 675-8442
Fax
(888) 316-1604
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Mr. Justin Miller
Title
Founder
Phone
(818) 675-8442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CA Primary

Addresses

Primary practice location

2220 Otay Lakes Rd
Suite 502-121
Chula Vista, CA 91915-1004

Mailing address

2220 Otay Lakes Rd
Suite 502-121
Chula Vista, CA 91915-1004
Phone (818) 675-8442

Other names 1

  • Health Care Integrated Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1720450844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 OTAY LAKES RD",
            "address_2": "SUITE 502-121",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151004",
            "telephone_number": "818-675-8442",
            "fax_number": "888-316-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 OTAY LAKES RD",
            "address_2": "SUITE 502-121",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151004",
            "telephone_number": "818-675-8442",
            "fax_number": "888-316-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J CHASE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "818-675-8442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care Integrated Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 28, 2015; 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.