GARY VANDENBERG (NPI# 1912122680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912122680 |
| Entity Type | Individual |
| Full Name | GARY VANDENBERG |
| Credential | MD |
| Practice Address |
9834 Genesee Ave Suite 326 La Jolla CA 92037-1223 |
| Practice Telephone | 8584533813 |
| Practice Fax Number | 8584531727 |
| Mailing Telephone | 8584533813 |
| Mailing Fax Number | 8584531727 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | C33053 | CA | Other Service Providers |
| Street Address |
9834 GENESEE AVE SUITE 326 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437154143 | Mark M. Boiskin | Internal Medicine | 9834 Genesee Ave, Ste 312, La Jolla, CA 92037-1223 | 2005-06-17 |
| 1477925311 | Lee Copson | Audiologist-Hearing Aid Fitter | 9834 Genesee Ave, Hm Poole Building, Suite 224, La Jolla, CA 92037-1223 | 2015-10-29 |
| 1336531516 | Integrative Cardiovascular Center of La Jolla | Internal Medicine | 9834 Genesee Ave, Ste 101, La Jolla, CA 92037-1223 | 2015-02-25 |
| 1528460334 | Reinhard Wilhelm Schulte | Radiology | 9834 Genesee Ave, Suite 110, La Jolla, CA 92037-1223 | 2014-09-23 |
| 1083028898 | Frederick J De La Vega, Md | Specialist | 9834 Genesee Ave, 411, La Jolla, CA 92037-1223 | 2014-06-19 |
| 1912318023 | Ramona Master Md PC | Internal Medicine | 9834 Genesee Ave, La Jolla, CA 92037-1223 | 2014-05-12 |
| 1841632197 | Colleen Louise Trimlett | Physician Assistant | 9834 Genesee Ave, Ste. 125, La Jolla, CA 92037-1223 | 2013-07-26 |
| 1790120269 | California Hearing and Balance Center | Clinic/Center | 9834 Genesee Ave, Suite 111, La Jolla, CA 92037-1223 | 2013-05-09 |
| 1083972483 | Yogita Lakhera | Internal Medicine | 9834 Genesee Ave, Suite 312, La Jolla, CA 92037-1223 | 2012-04-24 |
| 1689948044 | Osteopathic Sports & Wellness Institute | Neuromusculoskeletal Medicine, Sports Medicine | 9834 Genesee Ave, Suite 125, La Jolla, CA 92037-1269 | 2012-03-02 |
| 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 | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831659945 | Christopher C Duong | Legal Medicine | 2114 Pullman Ln # B, Redondo Beach, CA 90278-4914 | 2019-03-24 |
| 1538694088 | Manohar Sukumar | Legal Medicine | 601 W Civic Center Dr, 601 Civic Center Drive West, Santa Ana, CA 92701-4002 | 2017-04-21 |
| 1316471402 | Comp Legal Medical Group | Legal Medicine | 71 Bryson Dr, Sutter Creek, CA 95685-4115 | 2017-04-14 |
| 1003358375 | Globilling Inc | Legal Medicine | 5230 Las Virgenes Rd Ste 210, Calabasas, CA 91302-3448 | 2016-11-17 |
| 1124560172 | Exam-docs Dba Forensic Med Group | Legal Medicine | 960 E Alosta Ave # 203, Azusa, CA 91702-2709 | 2016-11-08 |
| 1770937393 | Lynn Barkley Burnett | Legal Medicine | 1336 N Wishon Ave, Fresno, CA 93728-2316 | 2016-04-20 |
| 1407218936 | Jose A Zepeda | Legal Medicine | 1266 Pepper Dr, El Centro, CA 92243-4302 | 2016-03-23 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1982077269 | Elite Surgical Clinic, Medical Corporation | Legal Medicine | 1510 S. Central Ave., Suite 100, Glendale, CA 91204-2582 | 2015-11-09 |
| 1669841995 | Injury Center Medical Group Inc | Legal Medicine | 432 E Redlands Blvd, Suite C, San Bernardino, CA 92408-3718 | 2015-09-16 |
| 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.