Individual provider Active NPI

Christopher B Vargas, PA-C

  • Medical Physician Assistant
  • Chula Vista, CA
National Provider Identifier
1922505775
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
55263 Issued in CA
Practice address
2452 Fenton St Ste C203
Chula Vista, CA 91914-3599
Phone
(619) 600-5309
Fax
(619) 655-4700
NPI assigned
Apr 9, 2018
Last updated
Apr 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 55263 CA Primary

Addresses

Primary practice location

2452 Fenton St Ste C203
Chula Vista, CA 91914-3599

Mailing address

PO Box 210160
Chula Vista, CA 91921-0160
Phone (619) 600-5309

Other practice location 1

2452 Fenton St Ste C101
Chula Vista, CA 91914-3599
Phone (619) 600-5309

Other identifiers 1

IdentifierTypeStateIssuer
55263OtherCAPHYSICIAN ASSISTANT BOARD

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
I20190530002934 CA Practitioner - Physician Assistant 5597098897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Navarro Pain Control Group IncGroup PAC ID 7113198177, 3 clinicians

Practice addresses (Care Compare)

2452 Fenton St
Suite C203
Chula Vista, CA 91914-3599
Phone (619) 600-5309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55263CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cvargas36232@scrippshlth.medalliesdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1922505775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210160",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919210160",
            "telephone_number": "619-600-5309",
            "fax_number": "619-655-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 FENTON ST STE C203",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143599",
            "telephone_number": "619-600-5309",
            "fax_number": "619-655-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2452 Fenton St Ste C101",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919143599",
            "country_code": "US",
            "telephone_number": "619-600-5309",
            "fax_number": "619-655-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "CHRISTOPHER",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "55263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT BOARD",
            "identifier": "55263",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.