Active NPI
Rafael E Cuellar, M.D.
- Gastroenterology Physician
- Vista, CA
National Provider Identifier
1992863328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A42213
- Practice address
- 2341 S Melrose Dr
Vista, CA 92081-8788 - Phone
- (760) 599-1222
- Fax
- (760) 599-1221
- NPI assigned
- Dec 5, 2006
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A42213 | CA | Primary |
Addresses
Primary practice location
2341 S Melrose Dr
Vista, CA 92081-8788
Mailing address
2341 S Melrose Dr
Vista, CA 92081-8788
Phone (760) 599-1222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A422130 | Medicaid | CA | |
| A42213 | Other | CA | LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rideout Memorial Hospital | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients |
Locations
726 4th St
Marysville, CA 95901
Phone (530) 491-9491
Interoperability endpoints
- rcuellar42587@scrippshlth.medalliesdirect.net
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Marysville, CA
- NPI 1720088354
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292457600000",
"number": "1992863328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2341 S MELROSE DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920818788",
"telephone_number": "760-599-1222",
"fax_number": "760-599-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2341 S MELROSE DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920818788",
"telephone_number": "760-599-1222",
"fax_number": "760-599-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUELLAR",
"first_name": "RAFAEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2010-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A42213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A422130",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A42213",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.