COLTON HEALTH LLC (NPI# 1356848584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356848584 |
| Entity Type | Organization |
| Organization Name | COLTON HEALTH LLC |
| Practice Address |
480 Fourth Ave Ste 409 Chula Vista CA 91910-4413 |
| Practice Telephone | 6194252080 |
| Practice Fax Number | 6194258410 |
| Mailing Telephone | 6194252080 |
| Mailing Fax Number | 6194258410 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |
| Authorized Official Name | SUKHI GHUMAN (SOLE MBR) |
| Authorized Official Telephone | 6194252080 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLTON HEALTH LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
| Street Address |
480 FOURTH AVE STE 409 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437272010 | Ramesh Kumar Moolani | Internal Medicine | 480 Fourth Ave Ste 409, Chula Vista, CA 91910-4413 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407478712 | Iliana Garcia | Clinic/Center | 725 Welch Rd Rm 2570, Palo Alto, CA 94304-1614 | 2020-05-08 |
| 1831597061 | Jiyun Jean Kwon | Clinic/Center | 1670 East 120th Street, Mlk Oc Pharmacy, Los Angeles, CA 90059 | 2014-12-22 |
| 1215189709 | Martin J Cline | Clinic/Center | 6901 Panoramic Highway, Stinson Beach, CA 94970-0905 | 2008-10-16 |
| 1477603983 | Epeius Biotechnologies Corporation | Clinic/Center | 475 Huntington Dr, San Marino, CA 91108-2358 | 2007-01-10 |
| 1063486025 | Sequoia Oncology Medical Assoc | Clinic/Center | 857 Garner Ave, Hanford, CA 93230 | 2006-02-15 |
| 1265405328 | Sequoia Oncology Medical Assoc | Clinic/Center | 4945 W Cypress Ave, Ste C, Visalia, CA 93277 | 2006-02-09 |
| 1164077566 | Vaginal and Pelvic Surgeons, Inc | Clinic/Center | 1325 E Church St, Santa Maria, CA 93454-5909 | 2019-08-03 |
| 1558823518 | City of Hope Medical Foundation | Clinic/Center | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2019-04-01 |
| 1326566431 | Regents Univ of Calif of Los Angeles | Clinic/Center | 200 Medical Plaza Suite 120, Los Angeles, CA 90095-0001 | 2017-09-08 |
| 1629528880 | Kaiser Permanente | Clinic/Center | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2016-10-11 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
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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.