OrganizationActive
Eastlake Family Medical Inc.
NPI 1124101985 · Family Medicine Physician · Chula Vista, CA
Provider details
- NPI number
- 1124101985
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maria Oseguera, President(619) 946-4073
- License
- 20A 6433 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2452 Fenton Street
Suite 301
Chula Vista, CA 91914
Phone: (619) 946-4073
Fax: (619) 946-7243
Street-level locationGet directions
Mailing address
2452 Fenton Street
Chula Vista, CA 91914
Other names (DBA / former)
- Former legal business name
- Eastlake Family Medical Inc.
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2014-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.