DR. FREDERICK JAMES DELAVEGA (NPI# 1427169069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427169069 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK JAMES DELAVEGA |
| Credential | MD |
| Practice Address |
9850 Genesee Ave Suite 740 La Jolla CA 92037-1224 |
| Practice Telephone | 8584533842 |
| Practice Fax Number | 8585359390 |
| Mailing Telephone | 8584533842 |
| Mailing Fax Number | 8585359390 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A81923 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PPIN | WA81923A | 01 |
| Street Address |
9850 GENESEE AVE SUITE 740 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760589 | Frank Edward Mayer | Internal Medicine | 9850 Genesee Ave, Ste 930, La Jolla, CA 92037-1229 | 2005-06-16 |
| 1649717737 | La Jolla Anesthesia Associates Lp | Nurse Anesthetist, Certified Registered | 9850 Genesee Ave, Suite 980, La Jolla, CA 92037-1224 | 2017-01-26 |
| 1083151674 | Stephanie Klein | Physician Assistant | 9850 Genesee Ave, Ste 320, La Jolla, CA 92037-1208 | 2017-01-20 |
| 1346785250 | Lee Marie Atwood | Nurse Practitioner | 9850 Genesee Ave, Suite 400, La Jolla, CA 92037-1224 | 2017-01-01 |
| 1447795661 | Kirsten Goshen | Nurse Practitioner | 9850 Genesee Ave, Suite 570, La Jolla, CA 92037-1224 | 2016-12-24 |
| 1194279901 | Ellen Ashman | Nurse Practitioner | 9850 Genesee Ave, La Jolla, CA 92037-1224 | 2016-08-09 |
| 1164875175 | Miranda Mulholland | Nurse Practitioner | 9850 Genesee Ave, Suite 560, La Jolla, CA 92037-1224 | 2016-07-14 |
| 1578938023 | Schoemann Medical Corporation | Surgery | 9850 Genesee Ave, Suite 500, La Jolla, CA 92037-1224 | 2015-12-09 |
| 1679946040 | Lauren E Campagna | Physician Assistant | 9850 Genesee Ave, Suite 320, La Jolla, CA 92037-1224 | 2015-11-07 |
| 1750751269 | Charles Mears | Specialist/Technologist, Other | 9850 Genesee Ave, Suite210, La Jolla, CA 92037-1224 | 2015-09-28 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013395151 | Elizabeth Ann Murphy | Psychiatry & Neurology | Uc San Diego Center for Brain Health, 9444 Medical Center Dr, La Jolla, CA 92037 | 2015-05-08 |
| 1245598481 | Michelle Ubels Van Noord | Psychiatry & Neurology | 10666 N Torrey Pines Rd # Ms -313, La Jolla, CA 92037-1027 | 2012-04-25 |
| 1245529056 | Robert Jospeh Claycomb | Psychiatry & Neurology | 10666 N Torrey Pines Rd # Ms 313, La Jolla, CA 92037-1027 | 2011-04-01 |
| 1518136241 | Flagstaff Neurology | Psychiatry & Neurology | 4275 Executive Sq Ste 200, La Jolla, CA 92037-1476 | 2008-02-27 |
| 1437259520 | Jonathan Albert Schleimer | Psychiatry & Neurology | 9850 Genesee Ave Ste 750, La Jolla, CA 92037-1232 | 2006-09-25 |
| 1730110529 | Amy Christine Almaraz Nielsen | Psychiatry & Neurology | 9850 Genesee Ave Ste 470, La Jolla, CA 92037-1228 | 2006-07-06 |
| 1801832522 | Bradley J. Schnierow | Psychiatry & Neurology | 9834 Genesee Avenue, Suite 112, La Jolla, CA 92037 | 2006-06-21 |
| 1942291729 | Fatta B Nahab | Psychiatry & Neurology | 9452 Medical Center Dr Ste 2w-112, La Jolla, CA 92037-1337 | 2005-11-02 |
| 1114271665 | Southern California Neurology and Psychiatry | Psychiatry & Neurology | 4275 Executive Sq Ste 200, La Jolla, CA 92037-1476 | 2012-11-06 |
| 1093074122 | Kunal Agrawal | Psychiatry & Neurology | 9444 Medical Center Dr, La Jolla, CA 92093-0979 | 2012-05-09 |
| Find all providers in LA JOLLA | ||||
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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.