FREDERICK J DE LA VEGA, MD


Address: 9834 Genesee Ave, 411, La Jolla, CA 92037-1223
Phone: 8586771755

FREDERICK J DE LA VEGA, MD (NPI# 1083028898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083028898
Entity Type Organization
Organization Name FREDERICK J DE LA VEGA, MD
Practice Address 9834 Genesee Ave
411
La Jolla
CA 92037-1223
Mailing Address 23052 Alicia Pkwy
# 619
Mission Viejo
CA 92692-1643
Practice Telephone 8586771755
Practice Fax Number 8586771771
Mailing Telephone 7148089797
Mailing Fax Number 7148089393
Enumeration Date 2014-06-19
Last Update Date 2014-06-19
Authorized Official Name DR. FREDERICK J. DE LA VEGA (OWNER)
Authorized Official Telephone 8586771755
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist A81923 CA Other Service Providers

Office Location

Street Address 9834 GENESEE AVE
411
City LA JOLLA
State CA
Zip Code 92037-1223

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437154143 Mark M. Boiskin Internal Medicine 9834 Genesee Ave, Ste 312, La Jolla, CA 92037-1223 2005-06-17
1477925311 Lee Copson Audiologist-Hearing Aid Fitter 9834 Genesee Ave, Hm Poole Building, Suite 224, La Jolla, CA 92037-1223 2015-10-29
1336531516 Integrative Cardiovascular Center of La Jolla Internal Medicine 9834 Genesee Ave, Ste 101, La Jolla, CA 92037-1223 2015-02-25
1528460334 Reinhard Wilhelm Schulte Radiology 9834 Genesee Ave, Suite 110, La Jolla, CA 92037-1223 2014-09-23
1912318023 Ramona Master Md PC Internal Medicine 9834 Genesee Ave, La Jolla, CA 92037-1223 2014-05-12
1841632197 Colleen Louise Trimlett Physician Assistant 9834 Genesee Ave, Ste. 125, La Jolla, CA 92037-1223 2013-07-26
1790120269 California Hearing and Balance Center Clinic/Center 9834 Genesee Ave, Suite 111, La Jolla, CA 92037-1223 2013-05-09
1083972483 Yogita Lakhera Internal Medicine 9834 Genesee Ave, Suite 312, La Jolla, CA 92037-1223 2012-04-24
1689948044 Osteopathic Sports & Wellness Institute Neuromusculoskeletal Medicine, Sports Medicine 9834 Genesee Ave, Suite 125, La Jolla, CA 92037-1269 2012-03-02
1598049272 California Center for Neurointerventional Surgery Specialist 9834 Genesee Ave, 411, La Jolla, CA 92037-1223 2011-09-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982221768 Equip Health Medical, PC Clinic/Center 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 2020-06-29
1134745474 Brenda Kay Wiederhold Psychologist Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 2020-06-23
1316581598 Kathleen M Blechertas Physical Therapist 9888 Genesee, Lj19, La Jolla, CA 92037 2019-10-31
1316592876 Kevin Yanyan Li Student in an Organized Health Care Education/Training Program 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 2019-08-01
1407400542 Juan J Salmeron Dentist Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 2019-07-26
1609428598 Nicole Whitney Mark Physician Assistant 8103 Caminito Sonoma, La Jolla, CA 92037 2019-07-11
1700357936 Cecelia Rose Greene/pendzich Mastectomy Fitter 7760 Fay Ave, Suite M., La Jolla, CA 92037 2018-12-16
1740765890 Jeenal Ankit Gordhandas Student in an Organized Health Care Education/Training Program East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 2018-09-25
1306325220 Lisa Beth Perlov Marks Marriage & Family Therapist 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 2018-08-10
1023596731 Uc San Diego, Pathology Dept Pathology East Campus Office Building, Medical Center Dr, San Diego, CA 92037 2018-08-03
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255860136 Ximed Wound Care Clinic, Inc. Specialist 9850 Genesee Ave Ste 360, La Jolla, CA 92037-1212 2017-06-05
1851747604 Lily Janet Kotila Specialist 7752 Fay Ave Ste B, La Jolla, CA 92037-4328 2016-05-11
1114335403 Duncan T Mitchell Specialist 8261 La Jolla Scenic Dr N, La Jolla, CA 92037-2218 2014-07-30
1033546916 Reproductive Partners Medical Group La Jolla, Inc Specialist 9850 Genesee Ave Ste 800, La Jolla, CA 92037-1219 2013-10-08
1740522309 Hsien-lin Huang Specialist 9868 Black Gold Rd, La Jolla, CA 92037-1116 2013-03-21
1568711406 John State Rusin Specialist 1241 Prospect St, Apartment 5, La Jolla, CA 92037-0000 2012-09-06
1689934168 Kenneth John Blunt Specialist 5942 Avenida Chamnez, La Jolla, CA 92037-7402 2012-05-18
1417237751 Francis Joseph Pedace Specialist 7030 Neptune Pl, La Jolla, CA 92037-5328 2011-08-18
1457639155 Robert Aschenbrenner Specialist 711 Kline St Unit B, La Jolla, CA 92037-4451 2011-07-28
1093008583 Duc Minh Ha Specialist 9300 Campus Point Dr # 7381, La Jolla, CA 92037-1300 2011-05-17
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Competitor

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City LA JOLLA
Zip Code 92037

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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