SAN DIEGO VAMC (NPI# 1629015060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629015060 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO VAMC |
| Practice Address |
8810 Rio San Diego Dr San Diego CA 92108-1698 |
| Mailing Address |
Po Box 94416 Cleveland OH 44101-4416 |
| Practice Telephone | 7023413020 |
| Mailing Telephone | 7023413020 |
| Enumeration Date | 2006-06-02 |
| 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 |
| 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 |
| 1568401404 | San Diego Vamc | Clinic/Center | 1300 Rancho Del Oro Rd, Oceanside, CA 92056-1729 | 2006-06-06 |
| 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 |
8810 RIO SAN DIEGO DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-1698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506483 | Steven G Hogan | Nurse Practitioner | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2005-05-30 |
| 1508412461 | Shawnee Brew | Psychologist | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2019-08-15 |
| 1255897369 | Kiara Chanel Caryl Wesley | Psychologist | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2019-02-13 |
| 1881040236 | Jamie Porcadas | Family Medicine | 8810 Rio San Diego Dr, San Diego, CA 92108 | 2016-05-04 |
| 1336510387 | Victoria A. Farrow | Psychologist | 8810 Rio San Diego Dr, (116a4z), San Diego, CA 92108-1698 | 2015-10-16 |
| 1730570235 | Sara Crouch | Social Worker | 8810 Rio San Diego Dr, Suite 2161, San Diego, CA 92108-1698 | 2015-02-05 |
| 1588075865 | Okagbuo Constantine Isidienu | Licensed Vocational Nurse | 8810 Rio San Diego Dr, 2nd Floor, San Diego, CA 92108-1698 | 2014-05-08 |
| 1407160823 | Denise Catherine Ferraro-trapp | Social Worker | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2010-07-27 |
| 1093046682 | Patience Allison | Social Worker | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2010-01-20 |
| 1255563656 | Caleb Yoon Yol Ra | Social Worker | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2009-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1164473385 | San Antonio Vamc | Clinic/Center | 102 E King Ave, Spohn San Diego Family Health Clinic Suite 200, San Diego, TX 78384-1838 | 2006-05-12 |
| 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.