EVERSIDE HEALTH CA IRONWORKERS-CHULA VISTA NPI 1245016906

NPI Information

  • NPI: 1245016906
  • Provider Name: EVERSIDE HEALTH CA IRONWORKERS-CHULA VISTA
  • Classification: Preventive Medicine - 2083P0500X
  • Specialization: Preventive Medicine/Occupational Environmental Medicine
  • Entity Type: Organization
  • CLIA Number: 05D2294659
  • Address: 340 4TH AVE STE 14
    CHULA VISTA, CA
    ZIP 91910
  • Phone: (704) 661-1380

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NPI Details

EVERSIDE HEALTH CA IRONWORKERS-CHULA VISTA is a preventive medicine/occupational environmental medicine preventive medicine in Chula Vista, CA. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. EVERSIDE HEALTH CA IRONWORKERS-CHULA VISTA NPI is 1245016906. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

340 4TH AVE STE 14
CHULA VISTA, CA
ZIP 91910-813
Phone: (704) 661-1380

The provider's authorized official is Karla Spivey .
The authorized official title is Central Support Specialist and has the following contact phone number (317) 869-3164.

The CLIA number assigned to this NPI record is 05D2294659 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2023 and was last updated on 10/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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