MRS. VILMA CONG DIVINAGRACIA (NPI# 1235159724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235159724 |
| Entity Type | Individual |
| Full Name | MRS. VILMA CONG DIVINAGRACIA |
| Credential | RN, CNS |
| Practice Address |
Vasdhs- Ecc 3350 La Jolla Village Drive San Diego CA 92161-0001 |
| Practice Telephone | 8585528585 |
| Practice Fax Number | 8586426255 |
| Mailing Telephone | 8585528585 |
| Mailing Fax Number | 8586426255 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 343276 | CA | Nursing Service Providers |
| Y | 364SC1501X |
Clinical Nurse Specialist Specialization: Community Health/Public Health |
1509 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
CA | Nursing Service Providers |
| Street Address |
VASDHS- ECC 3350 LA JOLLA VILLAGE DRIVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92161-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902315807 | Laura Crocker | Psychologist | 3350 La Jolla Village Dr Mc 151b, San Diego, CA 92161 | 2017-09-22 |
| 1568849545 | Deborah Falch | Internal Medicine | Office of Primary Care Room 3322, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2015-04-29 |
| 1649566001 | Alyan Ali | Student in an Organized Health Care Education/Training Program | 350 La Jolla Village Dr, Unit 118, San Diego, CA 92161 | 2011-06-23 |
| 1992840144 | I-wei Shu | Psychiatry & Neurology | 3350 La Jolla Village Drive Mc 116a, San Diego, CA 92161 | 2007-02-21 |
| 1639252216 | R Shabetai | General Acute Care Hospital | Vahcs 3350 La Jolla Village Dr, Cardiolgy 111a, La Jolla, CA 92161 | 2006-10-24 |
| 1437233624 | Lee Michael Williams | Marriage & Family Therapist | Department of Veteran Affairs, 3350 La Jolla Village Dr, Psychology Department, San Diego, CA 92161 | 2006-10-24 |
| 1295824340 | Pamela Anne Broder | Pharmacist | San Diego Va Medical Center (119), 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-10-12 |
| 1750484259 | Michael Neil Oxman | Internal Medicine | Shingles Prevention Study (111f-1), Va Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-09-07 |
| 1295847358 | Patricia Ellen Fornes | Physical Therapist | Dept. Veterens Affairs San Diego Healthcare Services, 3350 La Jolla Village Dr. Dept. Pm&r Mb 117, San Diego, CA 92161 | 2006-08-31 |
| 1477667087 | Kathryn Victoria Frederick Louv | Nurse Practitioner | 3350 La Jolla Village Dr., La Jolla, CA 92161 | 2006-08-19 |
| Find all providers in zip 92161 | ||||
| Taxonomy Code | 364SC1501X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Community Health/Public Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335181 | Zinnia Community Care Clinic | Clinical Nurse Specialist | 2917 W Vernon Ave, Los Angeles, CA 90008-4714 | 2019-03-14 |
| 1467794453 | Katie Greene | Clinical Nurse Specialist | 2751 Tropicana Dr, Riverside, CA 92504-4277 | 2013-03-18 |
| 1780978379 | Andre Mitch Michaud | Clinical Nurse Specialist | 4215 26th St, San Francisco, CA 94131-1836 | 2011-06-01 |
| 1245467380 | Alice Y Wong | Clinical Nurse Specialist | 1171 Mission St, Medical Respite Program, San Francisco, CA 94103-1519 | 2009-06-16 |
| 1043344450 | Valerie Lee Bellnap | Clinical Nurse Specialist | 561 Canal St, Placerville, CA 95667-4312 | 2007-03-15 |
| 1871620369 | Patricia Jane Murphy | Clinical Nurse Specialist | 1360 Johnson Blvd Ste 103, S Lake Tahoe, CA 96150-8201 | 2007-02-28 |
| 1538296330 | Linda D Cromwell | Clinical Nurse Specialist | 981 Silver Dollar Ave, Suite 1, South Lake Tahoe, CA 96150-7761 | 2007-02-27 |
| 1477697985 | Cindy Slotterback Gaffney | Clinical Nurse Specialist | 950 Sevier Rd, Cool, CA 95614-9439 | 2007-02-16 |
| 1508908575 | Kathleen Robertson | Clinical Nurse Specialist | 3057 Briw Rd, Placerville, CA 95667-5321 | 2007-02-13 |
| 1316088149 | Phyllis Jean Goldie | Clinical Nurse Specialist | 929 Spring St, Placerville, CA 95667-4543 | 2007-02-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. VILMA CONG DIVINAGRACIA.
| 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.