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SOUTH BAY FAMILY MEDICAL GROUP, INC
NPI 1508920984
Family Medicine in Chula Vista, CA

Active since December 20, 2006CLIA 05D0999369 · Waiver
584 E ST, CHULA VISTA, CA 91910(619) 420-1378(619) 420-1331 Get Directions Write a Review

NPPES record last updated: March 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Bay Family Medical Group, Inc NPPES

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

SOUTH BAY FAMILY MEDICAL GROUP, INC (NPI 1508920984) is a healthcare organization registered as a family medicine in Chula Vista, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through May 9, 2028 and lists Efrain T Valladolid, President, as its authorized official.

NPPES Registry Identity

NPI1508920984
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH BAY FAMILY MEDICAL GROUP, INC
Location Address584 E STChula Vista, CA 91910-2348
Mailing Address584 E StChula Vista, CA 91910-2348 · (619) 420-1378 · Fax (619) 420-1331
Phone(619) 420-1378
Fax(619) 420-1331
Organization SubpartNo
Authorized OfficialEfrain T ValladolidPresident · (619) 420-1378
Enumeration DateDecember 20, 2006
Last NPPES UpdateMarch 2, 2011
✔ NPI 1508920984 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 · A61474
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.
584 E ST, Chula Vista, CA 91910
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Other Identifiers 3

Medicare ID-Type UnspecifiedWA61474BCA
Medicaid00A614740CA
Medicare UPING50184CA

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 of Waiver 05D0999369

South Bay Family Medical Group Inc · Chula Vista, CA
Active · expires May 9, 2028
CLIA Number05D0999369
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2026
Certificate Expiration DateMay 9, 2028
Laboratory DirectorEfrain T. Valladolid
Laboratory Phone(619) 420-1378
Laboratory LocationSouth Bay Family Medical Group Inc584 E Street, 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 3

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

GABRIELLA MIRANDA MIRANDA FNP
Nurse Practitioner (Family)
584 E ST
CHULA VISTA, CA 91910
San Diego County (619) 420-1378
DR. EFRAIN TORRES VALLADOLID M.D.
Family Medicine
584 E ST
CHULA VISTA, CA 91910
San Diego County (619) 420-1378
GLORIA HERNANDEZ SILERIO
Specialist
584 E ST
CHULA VISTA, CA 91910
San Diego County (619) 420-1378

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 South Bay Family Medical Group, Inc's NPI number?

The NPI number for South Bay Family Medical Group, Inc is 1508920984. It was assigned to this organization in the NPPES registry on December 20, 2006.

Where is South Bay Family Medical Group, Inc located?

South Bay Family Medical Group, Inc is located at 584 E St, Chula Vista, CA 91910. The listed phone number is (619) 420-1378.

What is South Bay Family Medical Group, Inc's specialty?

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

Does South Bay Family Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0999369) is associated with this NPI, valid through May 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Bay Family Medical Group, Inc was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.