SOUTH BAY GERIATRIC AND INTERNAL MEDICINE INC (NPI# 1801192497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801192497 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY GERIATRIC AND INTERNAL MEDICINE INC |
| Practice Address |
340 4th Ave #9 Chula Vista CA 91910-3813 |
| Mailing Address |
Po Box 92191 San Diego CA 92191-0723 |
| Practice Telephone | 6194269731 |
| Practice Fax Number | 6194269733 |
| Mailing Telephone | 6194269731 |
| Mailing Fax Number | 6194269733 |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-08-02 |
| Authorized Official Name | MR. MUSHRIK KAISEY (PRESIDENT) |
| Authorized Official Telephone | 6194269731 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | A72963 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A729631 | 05 |
| Street Address |
340 4TH AVE #9 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326043027 | Diogo S. Belo | Internal Medicine | 340 4th Ave, Ste 4, Chula Vista, CA 91910-3813 | 2005-06-17 |
| 1487106886 | Kasey Bamel | Nurse Practitioner | 340 4th Ave, Suite 9, Chula Vista, CA 91910-3813 | 2016-11-01 |
| 1952731390 | John M Mccluskey Md A Professional Corporation | Family Medicine | 340 4th Ave, Suite # 8a, Chula Vista, CA 91910-3813 | 2013-11-21 |
| 1184905994 | Fabiola Carapia | Nurse Practitioner | 340 4th Ave, Suite 4, Chula Vista, CA 91910-3813 | 2011-09-07 |
| 1780987537 | Luis Marmanillo-alcazar, M.d.,inc. | Obstetrics & Gynecology | 340 4th Ave, Suite 17, Chula Vista, CA 91910-3813 | 2010-12-17 |
| 1003133984 | Blanca Estela Cardenas | Nurse Practitioner | 340 4th Ave, #9, Chula Vista, CA 91910-3813 | 2010-04-30 |
| 1588988646 | Fresenius Medical Care Balboa, LLC | Clinic/Center | 340 4th Ave, Ste 18, Chula Vista, CA 91910-3813 | 2010-03-18 |
| 1356512305 | Stephen A Tregoning | Orthotist | 340 4th Ave, Suite 14, Chula Vista, CA 91910-3813 | 2008-03-18 |
| 1184892770 | Dansin, Inc | Specialist | 340 4th Ave, Suite 5a, Chula Vista, CA 91910-3813 | 2008-02-15 |
| 1710194428 | Mariflor Duhay Dmd Inc | Dentist | 340 4th Ave, Suite 15, Chula Vista, CA 91910-3813 | 2007-05-16 |
| Find all providers in the same location | ||||
| 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 | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407035256 | Charles E Bower | Legal Medicine | 256 Landis Ave Ste 200, Chula Vista, CA 91910-2650 | 2007-10-29 |
| 1245429828 | South Bay Internal Medical Grp Inc | Legal Medicine | 480 4th Ave Ste 206, Chula Vista, CA 91910-4412 | 2007-10-18 |
| 1154431484 | Carmelita Luna Uy | Legal Medicine | 1040 Tierra Del Rey, Suite 107, Chula Vista, CA 91910-7865 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831659945 | Christopher C Duong | Legal Medicine | 2114 Pullman Ln # B, Redondo Beach, CA 90278-4914 | 2019-03-24 |
| 1538694088 | Manohar Sukumar | Legal Medicine | 601 W Civic Center Dr, 601 Civic Center Drive West, Santa Ana, CA 92701-4002 | 2017-04-21 |
| 1316471402 | Comp Legal Medical Group | Legal Medicine | 71 Bryson Dr, Sutter Creek, CA 95685-4115 | 2017-04-14 |
| 1003358375 | Globilling Inc | Legal Medicine | 5230 Las Virgenes Rd Ste 210, Calabasas, CA 91302-3448 | 2016-11-17 |
| 1124560172 | Exam-docs Dba Forensic Med Group | Legal Medicine | 960 E Alosta Ave # 203, Azusa, CA 91702-2709 | 2016-11-08 |
| 1770937393 | Lynn Barkley Burnett | Legal Medicine | 1336 N Wishon Ave, Fresno, CA 93728-2316 | 2016-04-20 |
| 1407218936 | Jose A Zepeda | Legal Medicine | 1266 Pepper Dr, El Centro, CA 92243-4302 | 2016-03-23 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1982077269 | Elite Surgical Clinic, Medical Corporation | Legal Medicine | 1510 S. Central Ave., Suite 100, Glendale, CA 91204-2582 | 2015-11-09 |
| 1669841995 | Injury Center Medical Group Inc | Legal Medicine | 432 E Redlands Blvd, Suite C, San Bernardino, CA 92408-3718 | 2015-09-16 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
Please comment or provide details below to improve the information on SOUTH BAY GERIATRIC AND INTERNAL MEDICINE INC.
| 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.