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SOUTH BAY PRIMARY MEDICAL GROUP
NPI 1942659149
Clinic/Center - Primary Care in Chula Vista, CA

Active since June 08, 2016
769 MEDICAL CENTER CT, SUITE 303, CHULA VISTA, CA 91911(619) 591-9001(619) 591-9211 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Bay Primary Medical Group NPPES

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

SOUTH BAY PRIMARY MEDICAL GROUP (NPI 1942659149) is a healthcare organization registered as a primary care in Chula Vista, California and active in the NPI registry since June 2016. The organization lists Tracy Lee Polanco, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1942659149
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCIECAL RC INC
Location Address769 MEDICAL CENTER CT, SUITE 303Chula Vista, CA 91911-6602
Mailing Address769 Medical Center Ct, Suite 303Chula Vista, CA 91911-6602 · (619) 591-9001 · Fax (619) 591-9211
Phone(619) 591-9001
Fax(619) 591-9211
Organization SubpartNo
Authorized OfficialTracy Lee PolancoOwner/president · (619) 591-9001
Enumeration DateJune 8, 2016
Last NPPES UpdateNovember 16, 2016
✔ NPI 1942659149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Licenses✔ Licensed in CA · A80610✔ Licensed in CA · A76528
769 MEDICAL CENTER CT, Chula Vista, CA 91911
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Other Names 1

Doing Business AsSouth Bay Primary Medical Group

Other Providers at the Same Location NPPES 9

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

RILEY NICOLE TOON PA-C
Physician Assistant
769 MEDICAL CENTER CT
CHULA VISTA, CA 91911
San Diego County (619) 482-8430
KENNETH BURTON JOHNSON MD
Internal Medicine (Hematology & Oncology)
769 MEDICAL CENTER CT, SUITE 202
CHULA VISTA, CA 91911
San Diego County (619) 482-8430
DR. RUBEN CARMONA MD
Radiology (Radiation Oncology)
769 MEDICAL CENTER CT
CHULA VISTA, CA 91911
San Diego County (619) 502-5851
MARILYN SANDRA NORTON MD
Internal Medicine (Hematology & Oncology)
769 MEDICAL CENTER CT, SUITE 202
CHULA VISTA, CA 91911
San Diego County (619) 482-8430
MS. ANGIOLINA C. MOHI MSC,
Counselor (Mental Health)
769 MEDICAL CENTER CT
CHULA VISTA, CA 91911
San Diego County (619) 502-3204
DR. TRACY L. POLANCO M.D.
Family Medicine
769 MEDICAL CENTER CT, SUITE 303
CHULA VISTA, CA 91911
San Diego County (619) 591-9001
VALENTINA RUVALCABA FNP
Clinical Nurse Specialist (Oncology)
769 MEDICAL CENTER CT, STE 202
CHULA VISTA, CA 91911
San Diego County (619) 482-8430
JEANNETTE DEL VALLE MD, INC.
Internal Medicine
769 MEDICAL CENTER CT, SUITE 203
CHULA VISTA, CA 91911
San Diego County (619) 421-3313

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 Ciecal Rc Inc's NPI number?

The NPI number for Ciecal Rc Inc is 1942659149. It was assigned to this organization in the NPPES registry on June 8, 2016. The provider is doing business as South Bay Primary Medical Group.

Where is Ciecal Rc Inc located?

Ciecal Rc Inc is located at 769 Medical Center Ct Suite 303, Chula Vista, CA 91911. The listed phone number is (619) 591-9001.

What is Ciecal Rc Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Ciecal Rc Inc was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.