SAN DIEGO VAMC (NPI# 1821040965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821040965 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO VAMC |
| Other Organization Name | CHULA VISTA VA CLINIC |
| Practice Address |
835 3rd Ave Suite 133 Chula Vista CA 91911-1349 |
| Mailing Address |
Po Box 94416 Cleveland OH 44101-4416 |
| Practice Telephone | 7023413020 |
| Mailing Telephone | 7023413020 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-11-15 |
| Authorized Official Name | ERIN POTTER (EBILLING PROJECT MANAGER) |
| 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 |
|---|---|
| Chula Vista 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 |
| 1568401404 | San Diego Vamc | Clinic/Center | 1300 Rancho Del Oro Rd, Oceanside, CA 92056-1729 | 2006-06-06 |
| 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 |
| 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 |
835 3RD AVE SUITE 133 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-1349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730151234 | Eric James Olson | Internal Medicine | 835 3rd Ave, Suite B, Chula Vista, CA 91911-1352 | 2006-02-07 |
| 1760954325 | Mark William Jacobs | Marriage & Family Therapist | 835 3rd Ave, Chula Vista, CA 91911-1352 | 2018-12-20 |
| 1326577701 | Gyna Cassia Dantas Pelesky | Counselor | 835 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-08 |
| 1104376672 | Noel Reid | Marriage & Family Therapist | 835 3rd Ave, Chula Vista, CA 91911-1352 | 2016-10-10 |
| 1811445059 | Lauren Reminger | Marriage & Family Therapist | 835 3rd Ave, Chula Vista, CA 91911-1352 | 2016-09-16 |
| 1730633942 | Eva Kram | Marriage & Family Therapist | 835 3rd Ave, Chula Vista, CA 91911-1352 | 2016-08-05 |
| 1487013223 | Wendy R Villarreal | Peer Specialist | 835 3rd Ave, Suite C, Chula Vista, CA 91911-1352 | 2016-02-22 |
| 1982061966 | Nadine Greer | Counselor | 835 3rd Ave, Chula Vista, CA 91911-1352 | 2016-01-21 |
| 1750753448 | Bijou Kohns | Counselor | 835 3rd Ave, Chula Vista, CA 91911-1352 | 2015-10-21 |
| 1144696873 | Carol Ornelas | Counselor | 835 3rd Ave, Chula Vista, CA 91911-1352 | 2015-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| 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 | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
Please comment or provide details below to improve the information on SAN DIEGO VAMC.
| 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.