Individual provider Active NPI

Edwin Uribe Contreras, MD

  • Interventional Pain Medicine Physician
  • Vista, CA
National Provider Identifier
1790340073
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A179080 Issued in CA
Practice address
2023 W Vista Way Ste D
Vista, CA 92083-6030
Phone
(619) 330-8771
NPI assigned
May 2, 2019
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X A179080 CA
Interventional Pain Medicine Physician 208VP0014X A179080 CA Primary

Addresses

Primary practice location

2023 W Vista Way Ste D
Vista, CA 92083-6030

Mailing address

4647 Zion Ave
San Diego, CA 92120-2507

Other practice location 1

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-4000

Other practice location 2

4647 Zion Ave
San Diego, CA 92120-2507
Phone (833) 574-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD, CA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220808000401 DC Practitioner - Emergency Medicine 7416355987 Reassigns benefits to 1 organization
I20230131001101 VA Practitioner - Emergency Medicine 7416355987 Reassigns benefits to 1 organization
I20230405001258 MD Practitioner - Emergency Medicine 7416355987 Reassigns benefits to 1 organization
I20251112003674 CA Practitioner - Emergency MedicinePractitioner - Pain Management 7416355987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Pain Management
Education
University of California, San Diego School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anuj Gupta MD CorporationGroup PAC ID 7911039243, 2 clinicians

Practice addresses (Care Compare)

2023 W Vista Way
Suite D
Vista, CA 92083-6030
Phone (619) 330-8771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
80397CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Maryland-Frederick PC Multi-Specialty CurrentSince Jan 1, 2023 Accepting new patients
Upper Chesapeake Emergency Medicine Physicians, LLC Multi-Specialty CurrentSince Aug 21, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jul 25, 2022 Accepting new patients
Anuj Gupta MD Corporation Multi-Specialty CurrentSince Aug 11, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Multi-Specialty CurrentSince Oct 20, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Multi-Specialty Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jul 25, 2022 Accepting new patients
Frederick Health Hospital Inc Interventional Pain Medicine Past Accepting new patients
Eye Surgery Ctr of So Calif a Med Group Past Accepting new patients

Locations

3857 Birch St
Newport Beach, CA 92660
Phone (949) 783-3600

2023 W Vista Way
Ste D
Vista, CA 92083
Phone (619) 330-8771

15001 Health Center Dr
Bowie, MD 20716
Phone (301) 262-5511

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

13285 Minnieville Rd
Woodbridge, VA 22192
Phone (703) 986-2400

14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000

Interoperability endpoints

  • Direct secure messaging: econtreras1030891@direct.umm.edu
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1790340073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 ZION AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 W VISTA WAY STE D",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836030",
            "telephone_number": "619-330-8771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436142595",
            "country_code": "US",
            "telephone_number": "419-383-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4647 Zion Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921202507",
            "country_code": "US",
            "telephone_number": "833-574-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "EDWIN",
        "middle_name": "URIBE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-02",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A179080",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A179080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "c-cda",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.