NPIMap

Organization Active NPI

Chula Vista Professional Corporation

  • Chiropractor
  • Oro Valley, AZ
National Provider Identifier
1891844346
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7236 Issued in AZ
Legal business name
CHULA VISTA PROFESSIONAL CORPORATION
Practice address
1171 E Rancho Vistoso Blvd
Suite 123
Oro Valley, AZ 85755-9107
Phone
(520) 639-6288
Fax
(520) 818-1648
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Dr. Robert S Watson, D.C.NPI 1578674487
Title
Owner
Phone
(520) 639-6288

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7236 AZ Primary

Addresses

Primary practice location

1171 E Rancho Vistoso Blvd
Suite 123
Oro Valley, AZ 85755-9107

Mailing address

1171 E Rancho Vistoso Blvd
Suite 123
Oro Valley, AZ 85755-9107
Phone (520) 818-7788

Other names 1

  • Chiropractic USA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080515000524 AZ Part B Supplier - Clinic/Group Practice 4789753823 Receives reassigned benefits from 1 practitioner
Practice locations: Oro Valley, AZ

National Provider Directory

National Provider Directory

Locations

1171 E Rancho Vistoso Blvd
Ste 123
Oro Valley, AZ 85755
Phone (520) 639-6288

1820 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 639-6288

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1891844346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 E RANCHO VISTOSO BLVD",
            "address_2": "SUITE 123",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857559107",
            "telephone_number": "520-818-7788",
            "fax_number": "520-818-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 E RANCHO VISTOSO BLVD",
            "address_2": "SUITE 123",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857559107",
            "telephone_number": "520-639-6288",
            "fax_number": "520-818-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHULA VISTA PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-639-6288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.