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NPI Code Detail

MEDICARE: SHARP CHULA VISTA MEDICAL CENTER

MEDICARE: SHARP CHULA VISTA MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital090000008CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ZZZC3701ZOTHERCABLUE SHIELD
3050222OTHERCABLUE CROSS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396728630
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHARP CHULA VISTA MEDICAL CENTER
Provider Business Mailing Address
First Line : 8695 SPECTRUM CENTER BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1489
Country : US
Telephone Number :
Fax Number : 858-499-4738
Provider Business Practice Location Address
First Line : 751 MEDICAL CENTER CT
Second Line :
City : CHULA VISTA
State : CA
Zip : 91911-6617
Country : US
Telephone Number : 619-482-5800
Fax Number :
Authorized Official
Title or Position : CHIEF STRATEGY OFFICER/MARKET CEO
Name : WILLIAM SCOTT EVANS
Credential :
Telephone Number : 619-740-4648
Provider Enumeration Date : 11/21/2005
Last Update Date : 03/27/2025

Similar Medicare Providers

1396679841 — CECILIA FRANCO BOWERS
Practice Location Address:
751 MEDICAL CENTER CT
CHULA VISTA, CA
91911-6617
Practice Phone: 619-246-0884
Practice Fax: 619-246-0884
1639003189 — SONIA SANCHEZ
Practice Location Address:
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Practice Phone: 619-502-3662
Practice Fax:
1164360129 — IRENE SCHWERER PHARMD
Practice Location Address:
751 MEDICAL CENTER CT
CHULA VISTA, CA
91911-6617
Practice Phone: 619-502-5800
Practice Fax:
1649277302 — DR. LYNN ELLIS WELLING M.D.
Practice Location Address:
751 MEDICAL CENTER CT
CHULA VISTA, CA
91911-6617
Practice Phone: 619-888-2158
Practice Fax:
1164414827 — DR. KARRAR H. ALI D.O.
Practice Location Address:
751 MEDICAL CENTER CT
CHULA VISTA, CA
91911-6617
Practice Phone: 619-502-3477
Practice Fax:
1538142369 — SHARP CHULA VISTA MEDICAL CENTER
Practice Location Address:
751 MEDICAL CENTER CT
CHULA VISTA, CA
91911-6617
Practice Phone: 858-499-3027
Practice Fax: 858-499-3020

Directions to “SHARP CHULA VISTA MEDICAL CENTER ” Practice Location

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