1821267048 NPI number — SHARP CHULA VISTA MEDICAL CENTER

Table of content: MISS NATASHA ANTOYA FARRIOR LMHC (NPI 1154476471)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821267048 NPI number — SHARP CHULA VISTA MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHARP CHULA VISTA MEDICAL CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821267048
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/16/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8695 SPECTRUM CENTER BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN DIEGO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92123-1489
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
858-499-3025
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
752 MEDICAL CENTER CT STE 306
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHULA VISTA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91911-6660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-592-7950
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/21/2008

Additional Information

Authorized Official

Authorized Official Last Name:
EVANS
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
SCOTT
Authorized Official Title or Position:
SVP CHIEF STRATEGY OFFICER & CEO
Authorized Official Telephone Number:
619-740-4648

Provider Taxonomy Codes

  • Taxonomy code: 332BP3500X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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