MR. RANDAL JOHN VECCHIONE (NPI# 1306868328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306868328 |
| Entity Type | Individual |
| Full Name | MR. RANDAL JOHN VECCHIONE |
| Credential | MD |
| Practice Address |
2542 2nd Ave San Diego CA 92103-6537 |
| Practice Telephone | 6192341674 |
| Practice Fax Number | 6192341680 |
| Mailing Telephone | 6192341674 |
| Mailing Fax Number | 6192341680 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
A34154 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
A34154 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A341540 | 05 |
| Street Address |
2542 2ND AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-6537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376631333 | Randal J. Vecchione M.d., Inc., A Professional Corporation | Surgery | 2542 2nd Ave, San Diego, CA 92103-6537 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245474 | Jenny Marie Hullinger | Surgery | 711 4th Ave Ste 200, San Diego, CA 92101-6863 | 2018-08-20 |
| 1811430234 | Marc Hamilton Hedrick | Surgery | 3020 Callan Rd, San Diego, CA 92121-1109 | 2016-12-02 |
| 1881947471 | Amir. M. Karam Inc. | Surgery | 4765 Carmel Mountain Rd., Suite 201, San Diego, CA 92130 | 2012-10-19 |
| 1861717647 | Charlie Chen | Surgery | 3399 1st Ave, San Diego, CA 92103-5601 | 2010-04-05 |
| 1932321270 | Deniz J Gocken | Surgery | 11589 Wannacut Pl, San Diego, CA 92131-3733 | 2007-05-03 |
| 1154415891 | Thomas R. Vecchione | Surgery | 3399 First Avenue, San Diego, CA 92103 | 2006-10-03 |
| 1487653523 | Robert B Pollack | Surgery | 4510 Executive Dr., Suite 105, San Diego, CA 92121-3022 | 2005-07-20 |
| 1962982850 | Amanda Mcgee | Surgery | 711 4th Ave Ste 200, San Diego, CA 92101-6863 | 2018-08-20 |
| 1770020471 | Restore Sd Plastic Surgery | Surgery | 8929 University Center Ln, Suite 201, San Diego, CA 92122-1006 | 2017-01-20 |
| 1578869772 | Jason R Hess Plastic Surgery Inc | Surgery | 4060 4th Ave, Suite 120, San Diego, CA 92103-2116 | 2011-02-04 |
| Find all providers in SAN DIEGO | ||||
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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.