PRISMA CARE, A MEDICAL CORPORATION (NPI# 1093809139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093809139 |
| Entity Type | Organization |
| Organization Name | PRISMA CARE, A MEDICAL CORPORATION |
| Practice Address |
2648 Main St Suite #a Chula Vista CA 91911-4664 |
| Practice Telephone | 6195755000 |
| Practice Fax Number | 6195755060 |
| Mailing Telephone | 6195755000 |
| Mailing Fax Number | 6195755060 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-07-15 |
| Authorized Official Name | JOSE R LOPEZ (PRESIDENT) |
| Authorized Official Telephone | 6195755000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A43301 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A433010 | 05 |
| Street Address |
2648 MAIN ST SUITE #A |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-4664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689902942 | Nancy Jo Bergman | Occupational Therapist | 2648 Main St, Suite B/c, Chula Vista, CA 91911-4664 | 2009-11-25 |
| 1902042963 | Steven Thomas Gettelfinger | Specialist | 2648 Main St, Suite Bc, Chula Vista, CA 91911-4664 | 2008-12-22 |
| 1164668125 | Advanced Therapy Services, Inc. | Specialist | 2648 Main St, Suite Bc, Chula Vista, CA 91911-4664 | 2008-12-22 |
| 1386794543 | Fortuna Rehabilitation | Clinic/Center | 2648 Main St, Suite Bc, Chula Vista, CA 91911-4664 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164846234 | Min Zhao | Internal Medicine | 525 Third Ave, Chula Vista, CA 91910-5616 | 2014-02-10 |
| 1285989236 | Jeffrey Chwa | Internal Medicine | 765 Medical Center Ct Ste 216, Chula Vista, CA 91911 | 2012-07-16 |
| 1407110109 | Ali Fadhil | Internal Medicine | 340 4th Ave Ste 9, Chula Vista, CA 91910-3813 | 2012-06-27 |
| 1659535656 | Mariusz Witold Wysoczanski | Internal Medicine | 754 Medical Center Ct Ste 204, Chula Vista, CA 91911-6656 | 2008-07-18 |
| 1841454758 | Erick H. Alayo | Internal Medicine | 353a Church Ave, Chula Vista, CA 91910-3906 | 2008-07-10 |
| 1417136128 | Alshafie Mohamed Hassan | Internal Medicine | 1400 East Palomar Street, Chula Vista, CA 91913 | 2007-10-30 |
| 1437272010 | Ramesh Kumar Moolani | Internal Medicine | 480 Fourth Ave Ste 409, Chula Vista, CA 91910-4413 | 2007-04-09 |
| 1811070261 | Maria Geraldina Fuentes | Internal Medicine | 717 3rd Ave, Chula Vista, CA 91910-5803 | 2006-10-21 |
| 1023103967 | Leticia Uwedjojevwe Md Medical Corporation | Internal Medicine | 340 4th Ave Ste 10, Chula Vista, CA 91910-3813 | 2006-10-04 |
| 1841301330 | Luis F Sanchez | Internal Medicine | 227 Church Ave, Chula Vista, CA 91910-2702 | 2006-08-31 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.