Active NPI
Robert Luis Cabico, M.D.
- Internal Medicine Physician
- Chula Vista, CA
National Provider Identifier
1962796672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G67369
- Practice address
- 1111 Broadway
Suite 305
Chula Vista, CA 91911-2780 - Phone
- (619) 425-8212
- NPI assigned
- May 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G67369 | CA | Primary |
Addresses
Primary practice location
1111 Broadway
Suite 305
Chula Vista, CA 91911-2780
Mailing address
1111 Broadway
Suite 305
Chula Vista, CA 91911-2780
Phone (619) 425-8212
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1962796672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 BROADWAY",
"address_2": "SUITE 305",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919112780",
"telephone_number": "619-425-8212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 BROADWAY",
"address_2": "SUITE 305",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919112780",
"telephone_number": "619-425-8212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABICO",
"first_name": "ROBERT",
"middle_name": "LUIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-31",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G67369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.