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SAN DIEGO PEDIATRICS & FAMILY MEDICAL CLINIC
NPI 1265443444
General Practice in Chula Vista, CA

Active since August 11, 2006
401 H ST, SUITE #3, CHULA VISTA, CA 91910(619) 691-0001(619) 691-0111 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About San Diego Pediatrics & Family Medical Clinic NPPES

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

SAN DIEGO PEDIATRICS & FAMILY MEDICAL CLINIC (NPI 1265443444) is a healthcare organization registered as a general practice in Chula Vista, California and active in the NPI registry since August 2006. The organization lists Mario Eduardo Eyzaguirre, Physician/ Ceo, as its authorized official.

NPPES Registry Identity

NPI1265443444
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSAN DIEGO PEDIATRICS & FAMILY MEDICAL CLINIC
Location Address401 H ST, SUITE #3Chula Vista, CA 91910-4321
Mailing Address401 H St, Suite #3Chula Vista, CA 91910-4321 · (619) 691-0001 · Fax (619) 691-0111
Phone(619) 691-0001
Fax(619) 691-0111
Organization SubpartNo
Authorized OfficialMario Eduardo EyzaguirrePhysician/ Ceo · (619) 691-0001
Enumeration DateAugust 11, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1265443444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A42572
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

401 H ST, Chula Vista, CA 91910
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 of Waiver 05D1056826

San Diego Pediatrics & Family Medical Clinic, Inc · Chula Vista, CA
Expired · Jul 25, 2026
CLIA Number05D1056826
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2024
Certificate Expiration DateJuly 25, 2026
Laboratory DirectorMario E. Eyzaguirre, MD
Laboratory Phone(619) 691-0001
Laboratory LocationSan Diego Pediatrics & Family Medical Clinic, Inc401 H Street, Suite 3, Chula Vista, CA 91910
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

PARIZAD SERAJ DDS
Dentist
401 H ST, #4
CHULA VISTA, CA 91910
San Diego County (619) 422-3368
PARIZAD SERAJ DDS
Dentist (General Practice)
401 H ST, #4
CHULA VISTA, CA 91910
San Diego County (858) 943-1533
HECTOR HEREDIA-MARTINEZ JR. M.D.
Internal Medicine
401 H ST, SUITE 3
CHULA VISTA, CA 91910
San Diego County (619) 420-1010
LYDIA HARO FNP
Nurse Practitioner (Family)
401 H ST
CHULA VISTA, CA 91910
San Diego County (619) 420-1010
HECTOR HEREDIA, MD A PROFESSIONAL CORPORATION
Internal Medicine
401 H ST, SUITE 5
CHULA VISTA, CA 91910
San Diego County (619) 420-1010

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 San Diego Pediatrics & Family Medical Clinic's NPI number?

The NPI number for San Diego Pediatrics & Family Medical Clinic is 1265443444. It was assigned to this organization in the NPPES registry on August 11, 2006.

Where is San Diego Pediatrics & Family Medical Clinic located?

San Diego Pediatrics & Family Medical Clinic is located at 401 H St Suite #3, Chula Vista, CA 91910. The listed phone number is (619) 691-0001.

What is San Diego Pediatrics & Family Medical Clinic's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for San Diego Pediatrics & Family Medical Clinic was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.