VA SAN DIEGO HEALTHCARE SYSTEM (NPI# 1841596301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841596301 |
| Entity Type | Organization |
| Organization Name | VA SAN DIEGO HEALTHCARE SYSTEM |
| Practice Address |
4260 Porte De Palmas Unit 60 San Diego CA 92122-5159 |
| Practice Telephone | 8585528585 |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |
| Authorized Official Name | DR. SHAFAGH MONAZZAM (RESIDENT) |
| Authorized Official Telephone | 7145952250 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | TRAINEE | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578734729 | Va San Diego Healthcare System | Military Hospital | 3350 La Jolla Village Dr -mail Box 122, San Diego, CA 92161-0002 | 2008-03-17 |
| 1366481814 | Va San Diego Healthcare System | Rehabilitation Hospital | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2006-06-06 |
| Street Address |
4260 PORTE DE PALMAS UNIT 60 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92122-5159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561630 | Neal Yacoo | Pharmacist | 9085 Judicial Drive #2137, San Diego, CA 92122 | 2019-04-29 |
| 1598242828 | Gena Rachel Katzer | Social Worker | 3246 Willard St, San Diego, CA 92122 | 2018-07-19 |
| 1164919791 | Janine Marie Battaglia | Nurse Practitioner | Scripps Health Express, 4350 La Jolla Villlage Drive Ste 130, San Diego, CA 92122 | 2018-04-19 |
| 1669991899 | Lindsay Y Ditmars | Pharmacist | 7545 Charmant Dr. #1322, 1322, San Diego, CA 92122 | 2017-09-19 |
| 1154747103 | Rebecca Jackson | Nurse Practitioner | 3655 Nobel Drive, Suite 660, Peak Health Solutions, San Diego, CA 92122 | 2014-03-14 |
| 1851726582 | Grace Lorelei Allen | Doula | 2728 Nansen Avenue, San Diego, CA 92122 | 2013-09-12 |
| 1427301894 | Barry Katzman, M.d., Inc., Apc | Optometrist | 4413 Lajolla Village Dr., Spc. P1, San Diego, CA 92122 | 2012-10-22 |
| 1912295361 | Yingjian Liang | Psychiatry & Neurology | Gillman Drive 9500, San Diego, CA 92122 | 2011-07-19 |
| 1467775486 | David Michael Trejo | Psychologist | 5080 Shoreham Place, Suite 103, San Diego, CA 92122 | 2010-03-04 |
| 1225369556 | Jeffrey J Abrams | Internal Medicine | 3395 Willard St, San Diego, CA 92122 | 2010-01-27 |
| Find all providers in zip 92122 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508477258 | Micol Paul Zabala | Military Hospital | 3675 Lofberg St, San Diego, CA 92124-3221 | 2020-08-14 |
| 1396156527 | Jonathan Kawi | Military Hospital | 8848 Corvus Pl, San Diego, CA 92126-1921 | 2014-05-09 |
| 1790056372 | U. S. Navy | Military Hospital | 3423 Guadalcanal Rd, Bldg 401 2nd Deck, San Diego, CA 92155-5000 | 2012-01-13 |
| 1912168485 | John S Flores | Military Hospital | 9620 Capricorn Way, San Diego, CA 92126-5540 | 2008-06-18 |
| 1508036112 | Naval Medical Center San Diego | Military Hospital | 550 15th Street Unit 709, San Diego, CA 92101 | 2008-03-11 |
| 1922292382 | Gilberto Silvas Quesada II | Military Hospital | 3174 Caminito Quixote, San Diego, CA 92154-2252 | 2007-08-29 |
| 1427240225 | Veronica Mendoza | Military Hospital | 34800 Bob Wilson Dr Ste 100, San Diego, CA 92134-1100 | 2007-08-15 |
| 1275075236 | Department of Veterans Affairs | Military Hospital | 3350 La Jolla Village Dr, Social Work Service, San Diego, CA 92161-0002 | 2016-11-08 |
| 1003226309 | United States Navy | Military Hospital | Surface Warfare Medical Institute, 34101 Farenholt Avenue, Building 14, San Diego, CA 92134-5291 | 2014-05-07 |
| 1285973214 | Afloat Training Group San Diego | Military Hospital | 3455 Sturtevant St, Suite 1, San Diego, CA 92136-5035 | 2013-02-12 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on VA SAN DIEGO HEALTHCARE SYSTEM.
| 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.