Maria Angelica Justo, AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95013085 Issued in CA

Practice address

754 Medical Center CT Ste 206
Chula Vista, CA 91911-6656

Phone

(619) 482-4333

NPI assigned

Oct 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Matthew Douglas Pugh, D.O.

  • Clinical Cardiac Electrophysiology Physician
  • Chula Vista, CA
  • NPI 1053719898
  Medicare reassignment NPD
• Ravindra Prabhu MD a Medical Corporation

  • Clinical Cardiac Electrophysiology Physician
  • Chula Vista, CA
  • NPI 1174956270
  NPD (past)
• Sharp Chula Vista Medical Center

  • Skilled Nursing Facility
  • Chula Vista, CA
  • NPI 1538142369
  NPD (past)

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1992348205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 CHAMPAGNE CT UNIT 6",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919138346",
            "telephone_number": "240-643-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 MEDICAL CENTER CT STE 206",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116656",
            "telephone_number": "619-482-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTO",
        "first_name": "MARIA ANGELICA",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95013085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Hue Yee Jue
• Terriann Jui, PT, DPT
• Kilsis Julia Tugores, LCSW
• Kristin Sara Jung
• Nicole Jupiter
• Kab Medical Group Inc
• Ferenc Kacsinta
• Tania Kaczanowski, OD
• Hawraa Kadhim
• Brian Henry Kaestner

• Acute Care Nurse Practitioner in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.