Organization
SHARP CHULA VISTA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SCOTT EVANS (CHIEF STRATEGY OFFICER/MARKET CEO)
(619) 740-4648
Entity
Organization
Contact information
Practice address
751 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6617
(619) 482-5800
Mailing address
8695 SPECTRUM CENTER BLVD, SAN DIEGO, CA 92123-1489
(858) 499-4738
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
090000008
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050222
BLUE CROSS
CA
05
—
HSC30222F
—
CA
05
—
ZZT30222F
—
CA
05
—
ZZT40222F
—
CA
01
—
ZZZC3701Z
BLUE SHIELD
CA
Enumeration date
11/21/2005
Last updated
03/27/2025
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