Organization Active NPI

Elion Brace MD Inc

  • Internal Medicine Physician
  • Chula Vista, CA
National Provider Identifier
1760847586
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A105638 Issued in CA
Legal business name
ELION BRACE MD INC
Practice address
450 4TH Ave Ste 408
Chula Vista, CA 91910-4430
Phone
(619) 934-5767
Fax
(619) 691-5977
NPI assigned
Dec 21, 2015
Last updated
Aug 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Dr. Elion Brace, M.D.NPI 1184890782
Title
M.D.
Phone
(760) 275-2792

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A105638 CA Primary

Addresses

Primary practice location

450 4TH Ave Ste 408
Chula Vista, CA 91910-4430

Mailing address

PO Box 211988
Chula Vista, CA 91921-1988
Phone (619) 836-3229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160106001934 CA Part B Supplier - Clinic/Group Practice 8426350810 Receives reassigned benefits from 5 practitioners
Practice locations: Chula Vista, CA; National City, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

3022 45th St
San Diego, CA 92105
Phone (619) 283-5855

3520 4th Ave
San Diego, CA 92103
Phone (619) 291-5270

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1760847586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211988",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919211988",
            "telephone_number": "619-836-3229",
            "fax_number": "619-272-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 4TH AVE STE 408",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104430",
            "telephone_number": "619-934-5767",
            "fax_number": "619-691-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELION BRACE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "BRACE",
        "authorized_official_first_name": "ELION",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "760-275-2792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A105638",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 31, 2021; 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.