SAN DIEGO VA HEALTHCARE SYSTEM (NPI# 1285744326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285744326 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO VA HEALTHCARE SYSTEM |
| Practice Address |
3350 La Jolla Village Dr La Jolla CA 92037-1806 |
| Mailing Address |
3350 La Jolla Village Dr San Diego CA 92161-0002 |
| Practice Telephone | 8585528585 |
| Practice Fax Number | 8585524315 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GARY ROSSIO (DIRECTOR) |
| Authorized Official Telephone | 8585528585 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
189407 | CA | Ambulatory Health Care Facilities |
| X | 283X00000X | Rehabilitation Hospital | 189407 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CNS CERTICATE | 468 | 01 |
| CA | RN LICENSE | 189407 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAN DIEGO VA HEALTHCARE SYSTEM | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 |
| Street Address |
3350 LA JOLLA VILLAGE DR |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306843206 | Susan Grace Leckband | Pharmacist | 3350 La Jolla Village Dr, 119, La Jolla, CA 92037-1806 | 2005-07-07 |
| 1033321211 | Marianne Fahmy | Internal Medicine | 3350 La Jolla Village Dr, La Jolla, CA 92037-1806 | 2007-05-03 |
| 1588784615 | Julie Howe Turner | Dietitian, Registered | 3350 La Jolla Village Dr, La Jolla, CA 92037-1806 | 2007-03-30 |
| 1427182922 | Jignesh Patel | Pharmacist | 3350 La Jolla Village Dr, La Jolla, CA 92037-1806 | 2007-03-15 |
| 1689755720 | Hilda Klara Thorisdottir | Internal Medicine | 3350 La Jolla Village Dr, 111 N, La Jolla, CA 92037-1806 | 2006-10-17 |
| 1083714398 | Sebastian Obrzut | Specialist | 3350 La Jolla Village Dr, Va Healthcare, Nuclear Medicine, Room 4516, La Jolla, CA 92037-1806 | 2006-09-25 |
| 1619079464 | Ucsd | Psychiatric Unit | 3350 La Jolla Village Dr, Mail Code 116-a, La Jolla, CA 92037-1806 | 2006-09-02 |
| 1023129046 | Angela Joseph | Registered Nurse | 3350 La Jolla Village Dr, La Jolla, CA 92037-1806 | 2006-08-31 |
| 1275642175 | David K. Welsh | Psychiatry & Neurology | 3350 La Jolla Village Dr, Va San Diego Healthcare System, Psychiatry, V-116a, La Jolla, CA 92037-1806 | 2006-08-30 |
| 1124133897 | Catherine Mcdeed-breault | Nurse Practitioner | 3350 La Jolla Village Dr, La Jolla, CA 92037-1806 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719265 | Physiotherapy Associates, Inc. | Clinic/Center | 11253 Brockway Rd Ste 102, Truckee, CA 96161-3358 | 2020-10-27 |
| 1518571066 | Palm Springs Recovery Treatment Center | Clinic/Center | 45650 Williams Rd, Indian Wells, CA 92210-8474 | 2020-09-02 |
| 1417561242 | Hak Medical Consulting | Clinic/Center | 15424 Marilla St, North Hills, CA 91343-2125 | 2020-08-31 |
| 1780293530 | Physiotherapy Associates, Inc. | Clinic/Center | 2060 Otay Lakes Rd Ste 110, Chula Vista, CA 91913-1364 | 2020-07-28 |
| 1083239875 | Physiotherapy Associates, Inc. | Clinic/Center | 6400 Village Pkwy Ste 104, Dublin, CA 94568-3007 | 2020-06-08 |
| 1497385017 | Matrix Rehabilitation, Inc. | Clinic/Center | 420 E 3rd St Ste 701, Los Angeles, CA 90013-1646 | 2020-01-23 |
| 1326689050 | Physiotherapy Associates, Inc. | Clinic/Center | 1470 Civic Ct Ste 320, Concord, CA 94520-5230 | 2019-10-03 |
| 1023661246 | Physiotherapy Associates, Inc. | Clinic/Center | 6200 Wilshire Blvd Ste 906, Los Angeles, CA 90048-5810 | 2019-07-17 |
| 1821556689 | Top Tier Rehab & Performance | Clinic/Center | 45 Tulare Dr, Aliso Viejo, CA 92656-8084 | 2019-03-11 |
| 1194281550 | Matrix Rehabilitation, Inc. | Clinic/Center | 15585 Monterey Rd Ste D, Morgan Hill, CA 95037 | 2019-02-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SAN DIEGO VA 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.