Eastlake Family Medical Inc. - Medicare Primary Care in Chula Vista, CA

Eastlake Family Medical Inc. is a medicare enrolled primary clinic (Family Medicine) in Chula Vista, California. The current practice location for Eastlake Family Medical Inc. is 2452 Fenton Street, Suite 301, Chula Vista, California. For appointments, you can reach them via phone at (619) 946-4073. The mailing address for Eastlake Family Medical Inc. is 2452 Fenton Street, Suite 301, Chula Vista, California and phone number is (619) 946-4073.

Eastlake Family Medical Inc. is licensed to practice in California (license number 20A 6433). The clinic also participates in the medicare program and its NPI number is 1124101985. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (619) 946-4073.

Contact Information

Eastlake Family Medical Inc.
2452 Fenton Street
Suite 301
Chula Vista
CA 91914
(619) 946-4073
(619) 946-7243

Primary Care Clinic Profile

Full NameEastlake Family Medical Inc.
SpecialityFamily Medicine
Location2452 Fenton Street, Chula Vista, California
Authorized Official Name and PositionMaria De Los Angeles Oseguera (PRESIDENT)
Authorized Official Contact6199464073
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eastlake Family Medical Inc.
2452 Fenton Street
Suite 301
Chula Vista
CA 91914

Ph: (619) 946-4073
Eastlake Family Medical Inc.
2452 Fenton Street
Suite 301
Chula Vista
CA 91914

Ph: (619) 946-4073

NPI Details:

NPI Number1124101985
Provider Enumeration Date10/23/2006
Last Update Date06/05/2014

Medicare PECOS Information:

Medicare PECOS PAC ID2961594387
Medicare Enrollment IDO20070815000351

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Medical Identifiers

Medical identifiers for Eastlake Family Medical Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124101985NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20A 6433 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Eastlake Family Medical Inc. acts as a billing entity for following providers:
Provider NameEdward W Schumaker
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184616872
PECOS PAC ID: 4587756903
Enrollment ID: I20070815000400

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Provider NameMaria D Oseguera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487627907
PECOS PAC ID: 6305938721
Enrollment ID: I20070815000441

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