Organization Active NPI

Luis a Fiallo MD PC

  • Pulmonary Disease Physician
  • Chula Vista, CA
National Provider Identifier
1760644686
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
LUIS A FIALLO MD PC
Practice address
754 Medical Center CT
100
Chula Vista, CA 91911-6655
Phone
(619) 421-4000
Fax
(619) 421-6395
NPI assigned
Jul 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Dr. Luis A Fiallo, MD FACP FCC
Title
MD Owner
Phone
(619) 421-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

754 Medical Center CT
100
Chula Vista, CA 91911-6655

Mailing address

754 Medical Center CT
100
Chula Vista, CA 91911-6655
Phone (619) 450-9960

Other identifiers 2

IdentifierTypeStateIssuer
00C513090MedicaidCA
1407824600OtherCANPI

National Provider Directory

National Provider Directory

Locations

754 Medical Center Ct
Ste 100
Chula Vista, CA 91911
Phone (619) 421-4000

480 Fourth Ave
Ste 400
Chula Vista, CA 91910

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1760644686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 MEDICAL CENTER CT",
            "address_2": "100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116655",
            "telephone_number": "619-450-9960",
            "fax_number": "619-773-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 MEDICAL CENTER CT",
            "address_2": "100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116655",
            "telephone_number": "619-421-4000",
            "fax_number": "619-421-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS A FIALLO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "FIALLO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "619-421-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACP FCC"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C513090",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407824600",
            "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 Jan 24, 2012; 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.