MARTINEZ VAMC (NPI# 1780632901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780632901 |
| Entity Type | Organization |
| Organization Name | MARTINEZ VAMC |
| Practice Address |
201 Walnut Ave Vallejo CA 94592-1107 |
| Mailing Address |
Po Box 94412 Cleveland OH 44101-4412 |
| Practice Telephone | 7075628202 |
| Mailing Telephone | 7023413020 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-04-04 |
| Authorized Official Name | MS. ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332100000X | Department of Veterans Affairs (VA) Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NCPDP# | 5617002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1598713703 | Martinez Vamc | Department of Veterans Affairs (VA) Pharmacy | 1601 Concord Avenue, Chico, CA 95928-9487 | 2006-05-04 |
| 1972995306 | Martinez Vamc | Clinic/Center | 525 21st St, Oakland, CA 94612-1605 | 2015-02-23 |
| 1033501465 | Martinez Vamc | Clinic/Center | 760 Cypress Ave, Suite 100, Redding, CA 96001-2732 | 2015-02-23 |
| 1124410550 | Martinez Vamc | Clinic/Center | 254 Cohasset Rd, Suite 20, Chico, CA 95926-2290 | 2015-02-23 |
| 1194826685 | Martinez Vamc | General Acute Care Hospital | 150 Muir Rd, Martinez, CA 94553-4668 | 2006-09-26 |
| 1225071756 | Martinez Vamc | Clinic/Center | 5342 Dudley Blvd, Mcclellan Air Force Base Building 88, Mcclellan, CA 95652-1012 | 2006-06-13 |
| Street Address |
201 WALNUT AVE |
| City | VALLEJO |
| State | CA |
| Zip Code | 94592-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064584 | Maclyn Merritt | Dental Hygienist | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2020-08-19 |
| 1912516899 | Lauren Mccormick | Student in an Organized Health Care Education/Training Program | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2020-07-27 |
| 1205456647 | Nicole Renee Randall | Student in an Organized Health Care Education/Training Program | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2020-04-24 |
| 1740816958 | Chang Guo | Student in an Organized Health Care Education/Training Program | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2020-03-19 |
| 1174156459 | Tiffany Tse | Dentist | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2020-02-14 |
| 1184270159 | Brandon William Rebottaro | Student in an Organized Health Care Education/Training Program | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2019-08-14 |
| 1043733660 | Mark Watanabe | Dentist | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2017-07-25 |
| 1881127785 | William Chao | Dentist | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2017-04-07 |
| 1386099430 | Rachel Trott | Social Worker | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2016-04-26 |
| 1538392618 | Mary M Beutner | Registered Nurse | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2009-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671811 | Amy Ngoc Anh Tran | Student in an Organized Health Care Education/Training Program | Touro University California, 1310 Club Drive, Vallejo, CA 94592 | 2019-10-25 |
| 1780168666 | Bill Darrel Danyeur | Health Educator | Touro University California Dpp, 1310 Club Drive, Vallejo, CA 94592 | 2018-09-18 |
| 1194034710 | Paul Robert Hansen | Pharmacist | 1310 Johnson Lane, Mare Island, Vallejo, CA 94592 | 2010-09-30 |
| 1548298607 | Touro University California | Family Medicine | 1310 Club Drive, Vallejo, CA 94592 | 2006-06-29 |
| 1093785362 | Ronald W. Eng | Dentist | Vanchcs Outpatient Clinic. Dental Service (160/mi), Bldg. 201, Walnut Ave., Mare Island, CA 94592 | 2006-01-26 |
| 1952386625 | Renu Yadav Sharma | Dentist | Va Nchcs- Dental Service, Bldg 201 Walnut Ave, Mare Island, CA 94592 | 2005-12-14 |
| 1689659518 | Linda Chie | Dentist | Va Northern California Health Care Systen Dental Clinic, Bldg. 201, Walnut Ave., Mare Island, CA 94592 | 2005-12-14 |
| 1114404712 | Keith Isamu Yoshizuka | Pharmacist | 1310 Club Drive, Touro University California College of Pharmacy, Vallejo, CA 94592 | 2018-07-26 |
| 1669996518 | Daniel Jaemoon Kang | Dentist | 201 Walnut Avenue, 612 Ge/mi Dental, Vallejo, CA 94592 | 2017-08-02 |
| 1689975278 | James Wesley Binkerd | Neuromusculoskeletal Medicine & OMM | 1310 Club Drive, Vallejo, CA 94592 | 2010-11-12 |
| Find all providers in zip 94592 | ||||
| Taxonomy Code | 332100000X |
| Grouping | Suppliers |
| Classification | Department of Veterans Affairs (VA) Pharmacy |
| Department of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital’s DEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based Outpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory licensed pharmacist, and has staffing to meet its designated scope of service. |
| Notes: Source: Pharmacy Benefits Management – Strategic Healthcare Group, Veterans Health Administration, Department of Veterans Affairs [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992176192 | Natural Lifestyles LLC. | Department of Veterans Affairs (VA) Pharmacy | 2138 W 109th St, Los Angeles, CA 90047-4609 | 2015-10-13 |
| 1124078308 | Palo Alto Vamc | Department of Veterans Affairs (VA) Pharmacy | 201 9th Street, Marina, CA 93933-6039 | 2006-05-11 |
| 1487602025 | Palo Alto Vamc | Department of Veterans Affairs (VA) Pharmacy | 5855 Silver Creek Valley Rd, San Jose, CA 95138-1059 | 2006-05-05 |
| 1396793428 | West Los Angeles Vamc | Department of Veterans Affairs (VA) Pharmacy | 351 E Temple St, Los Angeles, CA 90012-3328 | 2006-05-04 |
| 1598713703 | Martinez Vamc | Department of Veterans Affairs (VA) Pharmacy | 1601 Concord Avenue, Chico, CA 95928-9487 | 2006-05-04 |
| 1164685038 | San Francisco Vamc | Department of Veterans Affairs (VA) Pharmacy | 630 Kings Ct, Ukiah, CA 95482-5003 | 2008-07-09 |
| 1497948442 | San Francisco Vamc | Department of Veterans Affairs (VA) Pharmacy | 3841 Brickway Blvd, Santa Rosa, CA 95403-8226 | 2007-08-23 |
| 1689867632 | San Francisco Vamc | Department of Veterans Affairs (VA) Pharmacy | 930 W Harris St, Eureka, CA 95503-3927 | 2007-08-23 |
| 1396842159 | Mcclellandgmc Va Pharmacy | Department of Veterans Affairs (VA) Pharmacy | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2006-09-20 |
| 1528016862 | West Los Angeles Vamc | Department of Veterans Affairs (VA) Pharmacy | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2006-05-05 |
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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.