Active NPI
Luis a Fiallo MD PC
- Pulmonary Disease Physician
- Chula Vista, CA
National Provider Identifier
1760644686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C513090 | Medicaid | CA | |
| 1407824600 | Other | CA | NPI |
National Provider Directory
National Provider DirectoryLocations
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.