John Videen MD,Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G59271 Issued in CA

Legal business name

JOHN VIDEEN MD,INC

Practice address

752 Medical Center CT
Suite 210
Chula Vista, CA 91911-6658

Phone

(619) 421-3361

Fax

(619) 656-8936

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Teresa Reyes

Title

Office Manager

Phone

(619) 316-9142

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Merry Christine Blantz, NP

  • Nurse Practitioner
  • San Diego, CA
  • NPI 1275744252
  NPD (past)
• John S Videen, MD

  • Nephrology Physician
  • Chula Vista, CA
  • NPI 1043318199
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1891893848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121957",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919126657",
            "telephone_number": "619-421-3361",
            "fax_number": "619-656-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 MEDICAL CENTER CT",
            "address_2": "SUITE 210",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116658",
            "telephone_number": "619-421-3361",
            "fax_number": "619-656-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN VIDEEN MD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-316-9142"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G59271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G592710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John J Lee a Professional Corporation
• John M McCluskey MD a Professional Corporation
• John Maroon DDS a Professional Corporation
• John Qian M.D. Inc.
• John Tillner Dental Corporation
• John W Masters DDS Inc
• Alan Kuriakose John, M.D.
• Julie Juanita Johns
• Danielle Johnson
• Erica Johnson

• Internal Medicine Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.