Eastlake Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

EASTLAKE URGENT CARE LLC

Practice address

2436 Fenton St BLDG 6
Chula Vista, CA 91914-3516

Phone

(619) 581-0509

NPI assigned

Jan 22, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Tarek M Hassanein

Title

Administrator

Phone

(619) 990-1698

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noha Abdelgelil, MD

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1457926404
  Medicare reassignment NPD
• Nabil Baig, D.O.

  • Hospitalist Physician
  • San Diego, CA
  • NPI 1235405655
  Medicare reassignment NPD
• Tarek I. Hassanein, M.D.

  • Hepatology Physician
  • Coronado, CA
  • NPI 1801854450
  Medicare reassignment NPD
• Deanna Oliver, MD

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1750725362
  Medicare reassignment NPD

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1760294185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 FENTON ST BLDG 6",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143516",
            "telephone_number": "619-581-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 FENTON ST BLDG 6",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143516",
            "telephone_number": "619-581-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAKE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "HASSANEIN",
        "authorized_official_first_name": "TAREK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-990-1698",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastlake Laser Eye Associates
• Eastlake Optometry Inc.
• Eastlake Sleep Center
• Eastlake Surgery Center
• Eastlake Urgent Care a Professional Medical Corporation
• Michael Eaton, PT
• Myra Kurtz Ebeling, RD
• Krista Madison Eberle, PA
• Sarah K Ebert
• Katerina Echegaray, LMFT

• Urgent Care Clinic/Center in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.