Prisma Care, A Medical Corporation - Medicare Primary Care in Chula Vista, CA

Prisma Care, A Medical Corporation is a medicare enrolled primary clinic (Internal Medicine) in Chula Vista, California. The current practice location for Prisma Care, A Medical Corporation is 2648 Main St, Suite #a, Chula Vista, California. For appointments, you can reach them via phone at (619) 575-5000. The mailing address for Prisma Care, A Medical Corporation is 2648 Main St, Suite #a, Chula Vista, California and phone number is (619) 575-5000.

Prisma Care, A Medical Corporation is licensed to practice in California (license number A43301). The clinic also participates in the medicare program and its NPI number is 1093809139. 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) 575-5000.

Contact Information

Prisma Care, A Medical Corporation
2648 Main St
Suite #a
Chula Vista
CA 91911-4664
(619) 575-5000
(619) 575-5060

Primary Care Clinic Profile

Full NamePrisma Care, A Medical Corporation
SpecialityInternal Medicine
Location2648 Main St, Chula Vista, California
Authorized Official Name and PositionJose R Lopez (PRESIDENT)
Authorized Official Contact6195755000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Prisma Care, A Medical Corporation
2648 Main St
Suite #a
Chula Vista
CA 91911-4664

Ph: (619) 575-5000
Prisma Care, A Medical Corporation
2648 Main St
Suite #a
Chula Vista
CA 91911-4664

Ph: (619) 575-5000

NPI Details:

NPI Number1093809139
Provider Enumeration Date10/03/2006
Last Update Date07/15/2009

Medicare PECOS Information:

Medicare PECOS PAC ID1658423801
Medicare Enrollment IDO20090720000009

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Medical Identifiers

Medical identifiers for Prisma Care, A Medical Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093809139NPI-NPPES
00A433010MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A43301 (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. Prisma Care, A Medical Corporation acts as a billing entity for following providers:
Provider NameJose R Lopez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568667228
PECOS PAC ID: 9436191095
Enrollment ID: I20050524001361

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