Individual provider Active NPI

Joey Corbeta Asumbrado, NP

  • Family Nurse Practitioner
  • Chula Vista, CA
National Provider Identifier
1871197087
Registry record updated Nov 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015858 Issued in CA
Practice address
1863 Crossroads St
Chula Vista, CA 91915-2433
Phone
(806) 445-6589
NPI assigned
Nov 28, 2020
Last updated
Nov 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95015858 CA Primary

Addresses

Primary practice location

1863 Crossroads St
Chula Vista, CA 91915-2433

Mailing address

1863 Crossroads St
Chula Vista, CA 91915-2433
Phone (806) 445-6589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210526003055 CA Practitioner - Nurse Practitioner 6901205848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliable Care Medical Group AMC PCGroup PAC ID 8022340785, 5 clinicians
Henry a Richardson MD a Medical CorporationGroup PAC ID 0749537801, 9 clinicians

Practice addresses (Care Compare)

1419 E 8TH St
National City, CA 91950-2602
Phone (619) 718-1743

2211 Cecelia Ter
San Diego, CA 92110-2326
Phone (909) 709-5646

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
10.36 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
34.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95015858CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry a. Richardson, MD a Medical Corporation CurrentSince Oct 6, 2024 Accepting new patients
Reliable Care Medical Group AMC PC CurrentSince Mar 1, 2021 Accepting new patients

Locations

1419 E 8th St
National City, CA 91950
Phone (619) 718-1743

1180 Rosecrans St
San Diego, CA 92106

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606521600000",
    "number": "1871197087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1863 CROSSROADS ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152433",
            "telephone_number": "806-445-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1863 CROSSROADS ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152433",
            "telephone_number": "806-445-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASUMBRADO",
        "first_name": "JOEY",
        "middle_name": "CORBETA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-28",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.