VA SAN DIEGO (NPI# 1174995484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174995484 |
| Entity Type | Organization |
| Organization Name | VA SAN DIEGO |
| Practice Address |
815 E Pennsylvania Ave Escondido CA 92025-3424 |
| Mailing Address |
519 Stratford Ct Unit B Del Mar CA 92014-2731 |
| Practice Telephone | 7604667020 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |
| Authorized Official Name | JESSICA MILLER (NURSE PRACTITIONER) |
| Authorized Official Telephone | 8083912200 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
815 E PENNSYLVANIA AVE |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043296254 | Harold Sidney Jacobs | Contractor | 815 E Pennsylvania Ave, Escondido, CA 92025-3424 | 2005-12-20 |
| 1851746846 | Kelsey Nicole Bousema | Registered Nurse | 815 E Pennsylvania Ave, Escondido, CA 92025-3424 | 2016-04-27 |
| 1073978508 | Crassociates | Clinic/Center | 815 E Pennsylvania Ave, Escondido, CA 92025-3424 | 2015-12-29 |
| 1053644435 | Nakisha Sattelmaier | Registered Nurse | 815 E Pennsylvania Ave, Escondido, CA 92025-3424 | 2009-09-16 |
| 1346337904 | Mark E Brodsky | Family Medicine | 815 E Pennsylvania Ave, Escondido, CA 92025-3424 | 2006-10-06 |
| 1588765622 | Sherryl Anita Yancey | Nurse Practitioner | 815 E Pennsylvania Ave, Escondido, CA 92025-3424 | 2006-09-25 |
| 1306949334 | Susan Coyne | Registered Nurse | 815 E Pennsylvania Ave, Escondido, CA 92025-3424 | 2006-09-06 |
| 1881614790 | Celia Ann Lamke | Nurse Practitioner | 815 E Pennsylvania Ave, Escondido, CA 92025-3424 | 2006-07-20 |
| 1538112552 | San Diego Vamc | Clinic/Center | 815 E Pennsylvania Ave, Escondido, CA 92025-3424 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295088466 | Sk Medical Clinic | Clinic/Center | 911 E Valley Pkwy, Escondido, CA 92025-3428 | 2012-10-24 |
| 1407887375 | Cml Del Valle Medical Group | Clinic/Center | 1151 E Washington Ave, Ste C, Escondido, CA 92025-2254 | 2006-07-06 |
| 1568416097 | Arsenio I. Jimenez, Jr., M.d., P.C. | Clinic/Center | 750 E Grand Ave, Suite E, Escondido, CA 92025-4460 | 2006-05-20 |
| 1073978508 | Crassociates | Clinic/Center | 815 E Pennsylvania Ave, Escondido, CA 92025-3424 | 2015-12-29 |
| 1093154593 | Centro Medico Del Carmen, A Medical Corporation | Clinic/Center | 303 S Juniper St, Escondido, CA 92025-4924 | 2013-06-18 |
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|---|---|---|---|---|
| 1821699521 | Flora Lim | Clinic/Center | 2500 Alton Pkwy Ste 108, Irvine, CA 92606-5032 | 2020-11-08 |
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1275131765 | Uzoma Uwakah | Clinic/Center | 2521 Seminary Ave # 1, Oakland, CA 94605-1307 | 2020-10-15 |
| 1508464470 | Pestle Health LLC | Clinic/Center | 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 | 2020-10-13 |
| 1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
| 1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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| 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.