Jean Rizkallah, MD, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A93296 Issued in CA

Legal business name

JEAN RIZKALLAH, MD, INC

Practice address

450 Fourth Ave.
Ste 408
Chula Vista, CA 91910-4430

Phone

(619) 691-1990

Fax

(619) 691-5977

NPI assigned

Jun 8, 2010

Last updated

Dec 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean Rizkallah, M.D.NPI 1003800368

Title

Physician/Owner

Phone

(619) 691-1990

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Jean A. Rizkallah, MD

  • Family Medicine Physician
  • Chula Vista, CA
  • NPI 1003800368
  Medicare reassignment Care Compare group NPD Authorized official
• Elion Brace, MD

  • Internal Medicine Physician
  • Chula Vista, CA
  • NPI 1184890782
  Medicare reassignment Care Compare group NPD
• Marisa Deptala, FNP

  • Family Nurse Practitioner
  • Chula Vista, CA
  • NPI 1083166615
  Medicare reassignment Care Compare group NPD
• Karoljohn Simpauco Delara, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Chula Vista, CA
  • NPI 1306478896
  Medicare reassignment NPD
• Brittany Watson, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Clemente, CA
  • NPI 1629525340

  Multi-Specialty

  Medicare reassignment NPD
• Bartolome Majano, PA-C

  • Physician Assistant
  • Chula Vista, CA
  • NPI 1518531532
  Medicare reassignment
• Rita Starritt, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1548225964
  Medicare reassignment

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1760702237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 FOURTH AVE.",
            "address_2": "STE. 408",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104430",
            "telephone_number": "619-691-1990",
            "fax_number": "619-691-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 FOURTH AVE.",
            "address_2": "STE 408",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104430",
            "telephone_number": "619-691-1990",
            "fax_number": "619-691-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN RIZKALLAH, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "RIZKALLAH",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "619-691-1990",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A93296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003800368",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Joy Jatta
• Javier Valadez Dental Corporation (Smile San Diego)
• Therese Anne Marie Javier, PA-C
• JC Chiropractic, P.C.
• Jean Rizkallah, MD
• Michael Anthony Jean-Baptiste, NP
• Jeannette del Valle MD, Inc.
• VI Jebo
• Emil Paul Jech, LCSW
• Jeff Palitz MFT Inc (Eastlake Community Counseling)

• Family Medicine Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.