Individual provider Active NPI

Adrian Luna Armenta, PA-C

  • Physician Assistant
  • Chula Vista, CA
National Provider Identifier
1902794605
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66656 Issued in CA
Practice address
2648 Main St Ste a
Chula Vista, CA 91911-4664
Phone
(619) 575-5000
Fax
(619) 575-5060
NPI assigned
Jun 24, 2025
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA66656 CA Primary

Addresses

Primary practice location

2648 Main St Ste a
Chula Vista, CA 91911-4664

Mailing address

2648 Main St Ste a
Chula Vista, CA 91911-4664
Phone (619) 575-5000

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
I20250827000889 CA Order and Referring Only - Physician Assistant 3870094493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Care, a Medical Corporation CurrentSince Jun 29, 2025 Accepting new patients
Maroon-Lopez DDS, PC PastSince Jun 29, 2025 Accepting new patients

Locations

2648 Main St
Ste A
Chula Vista, CA 91911
Phone (619) 423-5200

4184 Beyer Blvd
Ste 105
San Ysidro, CA 92173

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1902794605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 MAIN ST STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919114664",
            "telephone_number": "619-575-5000",
            "fax_number": "619-575-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 MAIN ST STE A",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919114664",
            "telephone_number": "619-575-5000",
            "fax_number": "619-575-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA ARMENTA",
        "first_name": "ADRIAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.