DR. SCHUBERT JUSAY ATIGA - NPI NUMBER 1033138714

Summary

Provider Name: DR. SCHUBERT JUSAY ATIGA

NPI Number: 1033138714

Clasification: Obstetrics & Gynecology (207V00000X)

Organization: CHULA VISTA WOMEN'S CARE

Address:
752 MEDICAL CENTER COURT
#106
CHULA VISTA, CA
ZIP 91911

Phone Number: (619) 482-8406



Detailed Information

DR. Schubert Jusay Atiga is an OB/GYN physician in Chula Vista, CA with 30 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. The assigned NPI number for this provider is 1033138714 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year: 1984

The provider's business address is:

752 MEDICAL CENTER COURT
#106
CHULA VISTA, CA
ZIP 91911
Phone: (619) 482-8406
Fax: (619) 482-6656

The enumeration date for this NPI number is 7/19/2006 and was last updated on 9/14/2010.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207V00000X Obstetrics & Gynecology G53756 CA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 E33303 MEDICARE UPIN CA
2 E33303 MEDICARE UPIN
3 GR0055800 MEDICAID CA

NPI Record

No. Field Name Field Value
1 NPI 1033138714
2 Entity Type Code 1
3 Provider Last Name Legal Name ATIGA
4 Provider First Name SCHUBERT
5 Provider Middle Name JUSAY
6 Provider Name Prefix Text DR.
7 Provider First Line Business Practice Location Address 752 MEDICAL CENTER COURT
8 Provider Second Line Business Practice Location Address #106
9 Provider Business Practice Location Address City Name CHULA VISTA
10 Provider Business Practice Location Address State Name CA
11 Provider Business Practice Location Address Postal Code 91911
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 6194828406
14 Provider Business Practice Location Address Fax Number 6194826656
15 Provider Enumeration Date 7/19/2006
16 Last Update Date 9/14/2010
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 207V00000X
19 Provider License Number 1 G53756
20 Provider License Number State Code 1 CA
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 E33303
23 Other Provider Identifier Type Code 1 02
24 Other Provider Identifier State 1 CA
25 Other Provider Identifier 2 E33303
26 Other Provider Identifier Type Code 2 02
27 Other Provider Identifier 3 GR0055800
28 Other Provider Identifier Type Code 3 05
29 Other Provider Identifier State 3 CA
30 Is Sole Proprietor Y

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.