Active NPI
Christopher Joseph Gualtieri MD Apc
- Ophthalmology Physician
- San Diego, CA
National Provider Identifier
1992823959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G73020
- Legal business name
- CHRISTOPHER JOSEPH GUALTIERI MD APC
- Practice address
- 3969 Fourth Avenue
Suite 300
San Diego, CA 92103-3165 - Phone
- (619) 688-2648
- Fax
- (619) 688-2626
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Joseph Gualtieri, MD
- Title
- Corp President Ceo
- Phone
- (619) 688-2648
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G73020 | CA | Primary |
Addresses
Primary practice location
3969 Fourth Avenue
Suite 300
San Diego, CA 92103-3165
Mailing address
3969 Fourth Avenue
Suite 300
San Diego, CA 92103-3165
Phone (619) 688-2648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7398036 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
317 N El Camino Real
Ste 206
Encinitas, CA 92024
Phone (760) 479-0977
1020 E Vista Way
Vista, CA 92084
Phone (760) 940-1700
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- San Diego, CA
- NPI 1790769156
-
- Ophthalmology Physician
- San Diego, CA
- NPI 1699791335
-
- Ophthalmology Physician
- Oceanside, CA
- NPI 1386714509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606953600000",
"number": "1992823959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3969 FOURTH AVENUE",
"address_2": "SUITE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033165",
"telephone_number": "619-688-2648",
"fax_number": "619-688-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3969 FOURTH AVENUE",
"address_2": "SUITE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033165",
"telephone_number": "619-688-2648",
"fax_number": "619-688-2626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTOPHER JOSEPH GUALTIERI MD APC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A",
"authorized_official_last_name": "GUALTIERI",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "CORP PRESIDENT CEO",
"authorized_official_telephone_number": "619-688-2648",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "G73020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7398036",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Brian B Christison
- Hanna Christman, LMFT
- Mark Seth Christofferson, MD
- Christopher Carter MD Corp
- Christopher Cuong Pham DDS a Professional Dental Corporation
- Christopher L Sherman DO a Professional Medical Corporation
- Christopher L. Bosler Chiropractic, Inc.
- Christopher M Stafford M.D.
- Christopher Richard Elleraas
- Christopher Urband, MD, Corp.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.