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CCTC, CORP
NPI 1538623681
Nurse Practitioner in San Diego, CA

Active since January 23, 2019
6244 EL CAJON BLVD, SAN DIEGO, CA 92115(888) 628-6680 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cctc, Corp NPPES

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

CCTC, CORP (NPI 1538623681) is a healthcare organization registered as a nurse practitioner in San Diego, California and active in the NPI registry since January 2019. The organization lists Enrique Chung, President, as its authorized official.

NPPES Registry Identity

NPI1538623681
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameCCTC, CORP
Location Address6244 EL CAJON BLVDSan Diego, CA 92115-3918
Mailing Address1215 Hopland CtChula Vista, CA 91913-1438
Phone(888) 628-6680
Organization SubpartNo
Authorized OfficialEnrique ChungPresident · (619) 253-6451
Enumeration DateJanuary 23, 2019
✔ NPI 1538623681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6244 EL CAJON BLVD, San Diego, CA 92115
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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

Other Providers at the Same Location NPPES 20

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

DOUGLAS PLUMMER
Counselor (Addiction (Substance Use Disorder))
6244 EL CAJON BLVD, SUITE 15
SAN DIEGO, CA 92115
San Diego County (619) 287-8225
PATHWAYS COMMUNITY SERVICES LLC
Community/Behavioral Health
6244 EL CAJON BLVD, SUITE 14
SAN DIEGO, CA 92115
San Diego County (619) 640-3266
BAILEY CHRISTINE ARTHUR
Counselor (Mental Health)
6244 EL CAJON BLVD
SAN DIEGO, CA 92115
San Diego County (619) 640-3266
ROBERT J SANTORO DDS
Dentist (General Practice)
6244 EL CAJON BLVD, STE 1
SAN DIEGO, CA 92115
San Diego County (619) 583-1100
JAMES M IBARRA
Rehabilitation Practitioner
6244 EL CAJON BLVD, SAN DIEGO
SAN DIEGO, CA 92115
San Diego County (619) 640-3266
KATHLEEN MILLER TAING LMFT
Marriage & Family Therapist
6244 EL CAJON BLVD, #14
SAN DIEGO, CA 92115
San Diego County (619) 640-3266
THOMAS BLASQUEZ
Student in an Organized Health Care Education/Training Program
6244 EL CAJON BLVD, SUITE 15
SAN DIEGO, CA 92115
San Diego County (619) 694-7293
JULIAN SALAZAR
Counselor (Addiction (Substance Use Disorder))
6244 EL CAJON BLVD, #15
SAN DIEGO, CA 92115
San Diego County (619) 287-8225

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 Cctc, Corp's NPI number?

The NPI number for Cctc, Corp is 1538623681. It was assigned to this organization in the NPPES registry on January 23, 2019.

Where is Cctc, Corp located?

Cctc, Corp is located at 6244 El Cajon Blvd, San Diego, CA 92115. The listed phone number is (888) 628-6680.

What is Cctc, Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Cctc, Corp was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.