LUIS A. BEDOYA M.D. – NPI #1922119445
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

LUIS BEDOYA is a physician located in CHULA VISTA, CA. NPPES has assigned the NPI number 1922119445 to LUIS BEDOYA on August 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 5 years ago on Feb 02, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LUIS BEDOYA below.

NPI Profile for
LUIS A. BEDOYA

NPI Number
1922119445
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LUIS A. BEDOYA
Credentials
M.D.
Primary location
340 4TH AVE
STE 4
CHULA VISTA, CA 91910-3813
Phone: (619) 427-1144 Fax: (619) 427-1185
Mailing address
4225 EXECUTIVE SQ STE 450
LA JOLLA, CA 92037-8411
Phone: (858) 810-0000 Fax: (858) 268-1911
Sole Proprietor
No
Updated
Certification Date
Feb 02, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LUIS BEDOYA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSO. CALIFORNIA PTANCAA0312Z
MEDICAIDCA00A511050
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
CA A51105

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Affiliations
LUIS BEDOYA is affiliated with the following medical group(s):
  • HOSPITAL
    • GROSSMONT HOSPITAL
      5555 GROSSMONT CENTER DRIVE BOX 58
      LA MESA, CA 91942
    • SCRIPPS MERCY HOSPITAL
      4077 5TH AVE
      SAN DIEGO, CA 92103
    • SHARP CHULA VISTA MEDICAL CENTER
      751 MEDICAL CENTER COURT
      CHULA VISTA, CA 91911
  • DIALYSIS FACILITY
    • FMC-BALBOA MARINA BAY
      630 Bay Blvd., Suite 101
      Chula Vista, CA 91910
    • FMC-BALBOA SOUTH BAY HOME THERAPIES
      340 4th Avenue, Suite 18
      Chula Vista, CA 91910

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