Individual provider Active NPI

Cellecel Ian Galvez Macaspac

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1871246686
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NA Issued in ZZ
Practice address
350 10TH Ave Ste 1000
San Diego, CA 92101-8705
Phone
(858) 632-6400
NPI assigned
Feb 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NA ZZ Primary

Addresses

Primary practice location

350 10TH Ave Ste 1000
San Diego, CA 92101-8705

Mailing address

350 10TH Ave Ste 1000
San Diego, CA 92101-8705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1871246686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 10TH AVE STE 1000",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 10TH AVE STE 1000",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921018705",
            "telephone_number": "858-632-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACASPAC",
        "first_name": "CELLECEL IAN",
        "middle_name": "GALVEZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ZZ",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.