AARON MICHAEL DE LA VERGNE (NPI# 1538624309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538624309 |
| Entity Type | Individual |
| Full Name | AARON MICHAEL DE LA VERGNE |
| Credential | R.A.D.T. 1 |
| Practice Address |
2516 A St San Diego CA 92102-2111 |
| Practice Telephone | 6192350592 |
| Mailing Telephone | 6192350592 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6220010000 | CA | Behavioral Health & Social Service Providers |
| Street Address |
2516 A ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92102-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578693065 | The Way Back | Substance Abuse Rehabilitation Facility | 2516 A St, San Diego, CA 92102-2111 | 2007-03-06 |
| 1871121327 | Robert Sutherland | Counselor | 2516 A St, San Diego, CA 92102-2111 | 2020-03-31 |
| 1902430333 | Kevin Foster | Counselor | 2516 A St, San Diego, CA 92102-2199 | 2020-02-25 |
| 1588294565 | Joseph Richard Sternberg | Counselor | 2516 A St, San Diego, CA 92102-2111 | 2020-01-18 |
| 1205472107 | Robert Alton Schneider | Counselor | 2516 A St, San Diego, CA 92102-2111 | 2019-11-26 |
| 1942859673 | David Hedley | Counselor | 2516 A St, San Diego, CA 92102-2199 | 2019-09-05 |
| 1194284612 | Michael Christopher Schmitt Jr. | Counselor | 2516 A St, San Diego, CA 92102-2111 | 2019-03-14 |
| 1588120380 | Brian Michael Bauers | Counselor | 2516 A St, San Diego, CA 92102-2111 | 2019-02-16 |
| 1396201786 | Sage Robinson | Substance Abuse Rehabilitation Facility | 2516 A St, San Diego, CA 92102-2111 | 2019-02-11 |
| 1790241180 | Gwendolyn Marie Hamilton | Substance Abuse Rehabilitation Facility | 2516 A St, San Diego, CA 92102-2111 | 2019-02-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766698 | Daniela Tablas | Behavioral Analyst | 303 47th St Spc D-22, San Diego, CA 92102 | 2020-09-30 |
| 1649745712 | Juliet Lao Kurek | Pharmacist | 2121 Imperial Avenue, San Diego, CA 92102 | 2018-10-04 |
| 1851887020 | Monique Joseph | Counselor | 2410 E. Street, San Diego, CA 92102 | 2018-07-10 |
| 1184166316 | Elise Blanton-hubbard | Counselor | 1850 Dale St, San Diego, CA 92102 | 2016-11-04 |
| 1699221416 | Kari Judith Medina | Student in an Organized Health Care Education/Training Program | 1199 34th Street Apt 11, San Diego, CA 92102 | 2016-08-31 |
| 1942674536 | Caitlin Hillary Dablow | Speech-Language Pathologist | 1201 34th Street, San Diego, CA 92102 | 2015-11-19 |
| 1134508179 | Jonathan Waters | Military Health Care Provider | 1233 22nd Street, Unit 8, San Diego, CA 92102 | 2015-05-22 |
| 1871989913 | Abraham Greenberg | Pediatrics | 15 Balfour Street, Jerusalem, ISRAEL 92102 | 2015-04-15 |
| 1023421021 | Elmira Aghdam | Chiropractor | 5030 Bonita Rd Ste#b, Bonita, CA 92102 | 2014-06-06 |
| 1487092540 | Sherry Scott | Marriage & Family Therapist | 995 Gateway Center Drive #300, San Diego, CA 92102 | 2013-06-11 |
| Find all providers in zip 92102 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910901 | Eduardo Alberto Perez | Counselor | 8829 Dewsbury Ave, San Diego, CA 92126-2428 | 2020-10-21 |
| 1477166734 | Laura Aida Andrade | Counselor | 4125 Wabash Ave, San Diego, CA 92104-2124 | 2020-08-26 |
| 1679113096 | David Salvador Avalos | Counselor | 3642 Rosa Linda St, San Diego, CA 92154-3653 | 2020-01-14 |
| 1023651692 | Robert Joseph Kassel | Counselor | 6551 Seaman St, San Diego, CA 92120-2629 | 2019-10-25 |
| 1609437979 | Pamela Lynette Hill | Counselor | 3960 W Point Loma Blvd, San Diego, CA 92110-5643 | 2019-06-26 |
| 1154989838 | Victoria Philips | Counselor | 4055 58th St Apt 10, San Diego, CA 92115-6209 | 2019-05-29 |
| 1740847375 | Jessica Cristina Williams | Counselor | 1775 Elm Ave, San Diego, CA 92154-1104 | 2019-05-20 |
| 1659934164 | Virginia Denise Mcswain | Counselor | 220 Euclid Ave Ste 200, San Diego, CA 92114-3644 | 2019-04-19 |
| 1386107324 | Connie Padera | Counselor | 3148 Midway Dr # 113, San Diego, CA 92110-4539 | 2019-04-08 |
| 1154891067 | Vincent Garside | Counselor | 2516 A Sreet, San Diego, CA 92102-9210 | 2018-12-04 |
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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.