EDGAR N IBAY


Address: 1992 Caminito De La Cruz, Chula Vista, CA 91913
Phone: 7608283833

EDGAR N IBAY (NPI# 1801232236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801232236
Entity Type Individual
Full Name EDGAR N IBAY
Credential IDC
Practice Address 1992 Caminito De La Cruz
Chula Vista
CA 91913
Practice Telephone 7608283833
Mailing Telephone 7608283833
Enumeration Date 2013-05-13
Last Update Date 2013-05-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IDC 1710-1002X 01

Office Location

Street Address 1992 CAMINITO DE LA CRUZ
City CHULA VISTA
State CA
Zip Code 91913

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134774342 Tiffany Sheffield Physical Therapist 1392 E Palomar Street, Suite 503, Chula Vista, CA 91913 2019-08-05
1710457379 Jacqueline Rae Dagostino Physical Therapist 1392 E Palomar St Suite 503, Chula Vista, CA 91913 2018-11-27
1750806840 Evette Pablo Registered Nurse 904 Saint Germain Road, Chula Vista, CA 91913 2017-08-09
1760912364 Ferdinand San Jose Registered Nurse 1954 Marquis Court, Chula Vista, CA 91913 2017-06-15
1447640693 Ian Christopher So Ignacio Occupational Therapy Assistant 1575 Golden Gate Ave, Chula Vista, CA 91913 2015-01-27
1396154274 Helen Moreno Dentist 2009 Chardonnay Terrace, Chula Vista, CA 91913 2014-08-05
1699093765 Medical Logistics Management Inc. Ambulance 3130 Bonita Rd., Chula Vista, CA 91913 2010-05-13
1295066959 Candice Aquino Claudio Physical Therapist 1400 E. Palomar, Chula Vista, CA 91913 2010-01-20
1417136128 Alshafie Mohamed Hassan Internal Medicine 1400 East Palomar Street, Chula Vista, CA 91913 2007-10-30
1184779175 Vivian Kwan Cavan Dentist 945 Otay Lakes Road Suite H, Chula Vista, CA 91913 2007-01-23
Find all providers in zip 91913

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356902118 Paul Michael Isgar Military Health Care Provider 1155 Calle Tesoro, Chula Vista, CA 91915-1262 2019-06-24
1306401245 Virgilio Francisco Coloso Military Health Care Provider 1745 Thompson Ave, Chula Vista, CA 91913-4338 2019-05-07
1821508003 Edgar Omar Garcia Military Health Care Provider 454 E H St Apt 706, Chula Vista, CA 91910-7468 2017-10-02
1417376187 Joshua Hervas Military Health Care Provider 2710 Apricot Court, Chula Vista, CA 91915 2014-04-10
1285059352 Victoria Dodge Military Health Care Provider 50 E Flower St Apt 76, Chula Vista, CA 91910-7610 2014-02-26
1699107847 Enyichi Nathaniel Ndubueze Military Health Care Provider 660 Gretchen Rd, Chula Vista, CA 91910-6258 2013-07-30
1447695077 Philip Labo Fabunan Military Health Care Provider 1484 Canvas Dr Unit 6, Chula Vista, CA 91913-4983 2013-05-09
1053690610 Justin Mel Millard Military Health Care Provider 825 E Palomar St, Chula Vista, CA 91911-6992 2011-08-12
1316225519 Edward John Ronquillo Military Health Care Provider 1642 Hickory Nut Pl, Chula Vista, CA 91915-1728 2011-07-22
1477844280 Alredo Chavez Military Health Care Provider 2460 Steamboat Springs Ct., Chula Vista, CA 91915 2011-04-27
Find all providers in CHULA VISTA

Competitor

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City CHULA VISTA
Zip Code 91913

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Dataset Information

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.

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