Renato De La Rosa Md Inc - Medicare Primary Care in Chula Vista, CA

Renato De La Rosa Md Inc is a medicare enrolled primary clinic (Internal Medicine) in Chula Vista, California. The current practice location for Renato De La Rosa Md Inc is 754 Medical Center Ct Ste 103, Chula Vista, California. For appointments, you can reach them via phone at (619) 397-5001. The mailing address for Renato De La Rosa Md Inc is 754 Medical Center Ct Ste 103, Chula Vista, California and phone number is (619) 397-5001.

Renato De La Rosa Md Inc is licensed to practice in California (license number A65330). The clinic also participates in the medicare program and its NPI number is 1073867297. 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) 397-5001.

Contact Information

Renato De La Rosa Md Inc
754 Medical Center Ct Ste 103
Chula Vista
CA 91911-6655
(619) 397-5001
(619) 397-4460

Primary Care Clinic Profile

Full NameRenato De La Rosa Md Inc
SpecialityInternal Medicine
Location754 Medical Center Ct Ste 103, Chula Vista, California
Authorized Official Name and PositionRenato De La Rosa (MD)
Authorized Official Contact6193975001
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Renato De La Rosa Md Inc
754 Medical Center Ct Ste 103
Chula Vista
CA 91911-6655

Ph: (619) 397-5001
Renato De La Rosa Md Inc
754 Medical Center Ct Ste 103
Chula Vista
CA 91911-6655

Ph: (619) 397-5001

NPI Details:

NPI Number1073867297
Provider Enumeration Date11/09/2012
Last Update Date10/20/2021

Medicare PECOS Information:

Medicare PECOS PAC ID5294987657
Medicare Enrollment IDO20121211000107

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Medical Identifiers

Medical identifiers for Renato De La Rosa Md Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073867297NPI-NPPES
00A653300MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A65330 (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. Renato De La Rosa Md Inc acts as a billing entity for following providers:
Provider NameRenato C De La Rosa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114966777
PECOS PAC ID: 3779518154
Enrollment ID: I20051004001142

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