VA SAN DIEGO HEALTHCARE SYSTEM (NPI# 1578734729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578734729 |
| Entity Type | Organization |
| Organization Name | VA SAN DIEGO HEALTHCARE SYSTEM |
| Practice Address |
3350 La Jolla Village Dr -mail Box 122 San Diego CA 92161-0002 |
| Practice Telephone | 8586423500 |
| Practice Fax Number | 8586424755 |
| Mailing Telephone | 8586423500 |
| Mailing Fax Number | 8586424755 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | MRS. MARA L. DAVIS (SOCIAL WORKER) |
| Authorized Official Telephone | 8586423500 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
ASW 21803 | CA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841596301 | Va San Diego Healthcare System | Military Hospital | 4260 Porte De Palmas Unit 60, San Diego, CA 92122-5159 | 2011-02-01 |
| 1366481814 | Va San Diego Healthcare System | Rehabilitation Hospital | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2006-06-06 |
| Street Address |
3350 LA JOLLA VILLAGE DR -MAIL BOX 122 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92161-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902315807 | Laura Crocker | Psychologist | 3350 La Jolla Village Dr Mc 151b, San Diego, CA 92161 | 2017-09-22 |
| 1568849545 | Deborah Falch | Internal Medicine | Office of Primary Care Room 3322, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2015-04-29 |
| 1649566001 | Alyan Ali | Student in an Organized Health Care Education/Training Program | 350 La Jolla Village Dr, Unit 118, San Diego, CA 92161 | 2011-06-23 |
| 1992840144 | I-wei Shu | Psychiatry & Neurology | 3350 La Jolla Village Drive Mc 116a, San Diego, CA 92161 | 2007-02-21 |
| 1639252216 | R Shabetai | General Acute Care Hospital | Vahcs 3350 La Jolla Village Dr, Cardiolgy 111a, La Jolla, CA 92161 | 2006-10-24 |
| 1437233624 | Lee Michael Williams | Marriage & Family Therapist | Department of Veteran Affairs, 3350 La Jolla Village Dr, Psychology Department, San Diego, CA 92161 | 2006-10-24 |
| 1295824340 | Pamela Anne Broder | Pharmacist | San Diego Va Medical Center (119), 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-10-12 |
| 1750484259 | Michael Neil Oxman | Internal Medicine | Shingles Prevention Study (111f-1), Va Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-09-07 |
| 1295847358 | Patricia Ellen Fornes | Physical Therapist | Dept. Veterens Affairs San Diego Healthcare Services, 3350 La Jolla Village Dr. Dept. Pm&r Mb 117, San Diego, CA 92161 | 2006-08-31 |
| 1477667087 | Kathryn Victoria Frederick Louv | Nurse Practitioner | 3350 La Jolla Village Dr., La Jolla, CA 92161 | 2006-08-19 |
| Find all providers in zip 92161 | ||||
| Taxonomy Code | 2865M2000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649682154 | United States Navy | Military Hospital | Logistics Support Unit Onemedic, 2424 Redova Rd Bldg 156, San Diego, CA 92155-5401 | 2014-06-02 |
| 1306901988 | Balboa Hospital | Military Hospital | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2006-12-26 |
| 1396732871 | Naval Medical Center San Diego | Military Hospital | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679824585 | United States Navy | Military Hospital | Bldg 14137, Camp Pendleton, CA 92055-5697 | 2012-10-02 |
| 1396047866 | United States Navy | Military Hospital | 5065 Sunburst St, Joshua Tree, CA 92252-1831 | 2010-12-03 |
| 1316112311 | Michelle Bautista | Military Hospital | 8707 Troy St Apt 105, Spring Valley, CA 91977-2503 | 2008-04-29 |
| 1760651772 | Lance Mandernack | Military Hospital | 3371 Glendale Blvd, #186, Los Angeles, CA 90039-1825 | 2008-02-22 |
| 1306919501 | Weed Army Community Hospital | Military Hospital | Inner Loop, Fort Irwin, CA 92310-5109 | 2006-11-16 |
| 1699726570 | Naval Hospital Twentynine Palms | Military Hospital | 1145 Sturgis Road, Twentynine Palms, CA 92278 | 2006-05-15 |
| 1417304445 | V.a. Long Beach Medical Center | Military Hospital | 5901 E 7th St, Long Beach, CA 90822-5201 | 2016-05-19 |
| 1023377868 | Va Hospital | Military Hospital | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2012-05-14 |
| 1013187566 | Uscg Airsta Sacramento | Military Hospital | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2008-03-11 |
| 1386604387 | Naval Hospital Camp Pendleton | Military Hospital | 200 Mercy Circle, Fin Mgmt Code 0814, Camp Pendleton, CA 92055-5191 | 2006-03-24 |
| 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.