SAN DIEGO VAMC (NPI# 1568401404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568401404 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO VAMC |
| Other Organization Name | OCEANSIDE VA CLINIC |
| Practice Address |
1300 Rancho Del Oro Rd Oceanside CA 92056-1729 |
| Mailing Address |
Po Box 94416 Cleveland OH 44101-4416 |
| Practice Telephone | 7023413020 |
| Mailing Telephone | 7023413020 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2017-11-15 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Oceanside VA Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366498313 | San Diego Vamc | Clinic/Center | 1115 S 4th St, El Centro, CA 92243-4741 | 2006-05-25 |
| 1487171096 | San Diego Vamc | Psychiatric Residential Treatment Facility | 2121 San Diego Ave, San Diego, CA 92110-2928 | 2017-08-24 |
| 1265823231 | San Diego Vamc | Clinic/Center | 8989 Rio San Diego Dr, Suite 360, San Diego, CA 92108-1646 | 2015-02-12 |
| 1831506070 | San Diego Vamc | Clinic/Center | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2014-07-21 |
| 1629015060 | San Diego Vamc | Clinic/Center | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2006-06-02 |
| 1538112552 | San Diego Vamc | Clinic/Center | 815 E Pennsylvania Ave, Escondido, CA 92025-3424 | 2006-05-19 |
| 1821040965 | San Diego Vamc | Clinic/Center | 835 3rd Ave, Suite 133, Chula Vista, CA 91911-1349 | 2006-05-17 |
| 1891747333 | San Diego Vamc | General Acute Care Hospital | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2006-05-16 |
| 1528026895 | San Diego Vamc | Department of Veterans Affairs (VA) Pharmacy | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2006-05-03 |
| Street Address |
1300 RANCHO DEL ORO RD |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750360491 | Tasha Manternach | Dermatology | 1300 Rancho Del Oro Rd, Oceanside, CA 92056-1729 | 2006-01-11 |
| 1134737182 | Dana Michelle Heidmiller | Social Worker | 1300 Rancho Del Oro Rd, Oceanside, CA 92056-1729 | 2020-07-15 |
| 1881224087 | Mallery Saleem Eppler | Audiologist-Hearing Aid Fitter | 1300 Rancho Del Oro Rd, Oceanside, CA 92056-1729 | 2020-01-16 |
| 1316437361 | Nathasha Correa | Psychologist | 1300 Rancho Del Oro Rd, Oceanside, CA 92056-1729 | 2018-05-15 |
| 1811367410 | Brendt Parrish | Psychologist | 1300 Rancho Del Oro Rd, Oceanside, CA 92056-1729 | 2015-09-25 |
| 1376975797 | Leslie Anne Powell | Nurse Practitioner | 1300 Rancho Del Oro Rd, Oceanside, CA 92056-1729 | 2013-08-08 |
| 1255770707 | Luann Marie Daniels | Social Worker | 1300 Rancho Del Oro Rd, Oceanside, CA 92056-1729 | 2013-06-18 |
| 1942552195 | Raymond Edward Gysler IIi | Nurse Practitioner | 1300 Rancho Del Oro Rd, Oceanside, CA 92056-1729 | 2012-10-12 |
| 1043560725 | Gino Narte | Registered Nurse | 1300 Rancho Del Oro Rd, Oceanside, CA 92056-1729 | 2012-09-11 |
| 1467769067 | Shannon Marie Vitale | Social Worker | 1300 Rancho Del Oro Rd, Oceanside, CA 92056-1729 | 2010-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
| 1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
| 1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
| Find all providers in zip 92056 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396378030 | Long Beach Vamc | Clinic/Center | 1149 W 190th St Ste 100, Gardena, CA 90248-4321 | 2020-02-21 |
| 1841831617 | West Los Angeles Vamc | Clinic/Center | 7 W Foothill Blvd Ste D, Arcadia, CA 91006-2367 | 2019-10-03 |
| 1255972303 | William Loushion Mccollum | Clinic/Center | 831 Gulf Ave, Wilmington, CA 90744-4201 | 2019-09-30 |
| 1851943104 | Martinez Vamc | Clinic/Center | 11985 Heritage Oak Pl Ste 100, Auburn, CA 95603-2413 | 2019-07-16 |
| 1073064408 | Martinez Vamc | Clinic/Center | 2860 Howe Rd, Martinez, CA 94553-4000 | 2016-10-20 |
| 1548651516 | Loma Linda Vamc | Clinic/Center | 1273 W Hobsonway, Blythe, CA 92225-1423 | 2015-02-12 |
| 1538550694 | Long Beach Vamc | Clinic/Center | 888 West Santa Ana Blvd, Suite 150, Santa Ana, CA 92701-4592 | 2015-02-11 |
| 1780089847 | Yin Yang Health Care | Clinic/Center | 538 S Murphy Ave, Sunnyvale, CA 94086-6116 | 2014-10-30 |
| 1144638958 | Martinez Vamc | Clinic/Center | 101 East Oberlin Road, Yreka, CA 96097-9645 | 2014-07-24 |
| 1447523196 | Martinez Vamc | Clinic/Center | 425 Plumas Blvd, Yuba City, CA 95991-5074 | 2012-02-10 |
| 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.