OrganizationActive
Cctc, Corp
NPI 1538623681 · Nurse Practitioner · San Diego, CA
Cctc, Corp is a Nurse Practitioner organization in San Diego, CA (NPI 1538623681).
Provider details
- NPI number
- 1538623681
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Enrique Chung, President(619) 253-6451
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
6244 El Cajon Blvd
San Diego, CA 92115-3918
Phone: (888) 628-6680
Street-level locationGet directions
Mailing address
1215 Hopland Ct
Chula Vista, CA 91913-1438
Registry dates
- Enumerated
- 2019-01-23
- Last updated
- 2019-01-23
Frequently asked questions
- What is Cctc, Corp's NPI number?
- Cctc, Corp's National Provider Identifier (NPI) is 1538623681, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cctc, Corp?
- Cctc, Corp is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Cctc, Corp located?
- Cctc, Corp's practice location on file with NPPES is 6244 El Cajon Blvd, San Diego, CA 92115-3918.
- What is Cctc, Corp's phone number?
- The practice phone number listed in the NPPES registry for Cctc, Corp is (888) 628-6680.
- Who is the authorized official for Cctc, Corp?
- The authorized official listed on Cctc, Corp's NPPES record is Enrique Chung, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cctc, Corp's NPI active?
- Yes — Cctc, Corp's NPI (1538623681) is active in the NPPES registry as of the last update on 2019-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.