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EASTLAKE FAMILY MEDICAL INC.
NPI 1124101985
Family Medicine in Chula Vista, CA

Active since October 23, 2006CLIA 05D1068014 · Microscopy
2452 FENTON STREET, SUITE 301, CHULA VISTA, CA 91914(619) 946-4073(619) 946-7243 Get Directions Write a Review

NPPES record last updated: June 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastlake Family Medical Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTLAKE FAMILY MEDICAL INC. (NPI 1124101985) is a healthcare organization registered as a family medicine in Chula Vista, California and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through April 30, 2027 and lists Maria De Los Angeles Oseguera, President, as its authorized official.

NPPES Registry Identity

NPI1124101985
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEASTLAKE FAMILY MEDICAL INC.
Location Address2452 FENTON STREET, SUITE 301Chula Vista, CA 91914
Mailing Address2452 Fenton Street, Suite 301Chula Vista, CA 91914 · (619) 946-4073 · Fax (619) 946-7243
Phone(619) 946-4073
Fax(619) 946-7243
Organization SubpartNo
Authorized OfficialMaria De Los Angeles OsegueraPresident · (619) 946-4073
Enumeration DateOctober 23, 2006
Last NPPES UpdateJune 5, 2014
✔ NPI 1124101985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A 6433
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2452 FENTON STREET, Chula Vista, CA 91914
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Other Names 1

Former Legal Business NameEastlake Family Medical Inc.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1068014

Eastlake Family Medical · Chula Vista, CA
Active · expires Apr 30, 2027
CLIA Number05D1068014
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorMaria D. Oseguera
Laboratory Phone(619) 946-4073
Laboratory LocationEastlake Family Medical2452 Fenton St Ste 301, Chula Vista, CA 91914
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

G. MARQUEZ, D.D.S., INC
Dentist (General Practice)
2452 FENTON STREET, SUITE C-200
CHULA VISTA, CA 91914
San Diego County (619) 934-6620

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eastlake Family Medical Inc.'s NPI number?

The NPI number for Eastlake Family Medical Inc. is 1124101985. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Eastlake Family Medical Inc. located?

Eastlake Family Medical Inc. is located at 2452 Fenton Street Suite 301, Chula Vista, CA 91914. The listed phone number is (619) 946-4073.

What is Eastlake Family Medical Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Eastlake Family Medical Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1068014) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eastlake Family Medical Inc. was last updated on June 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.