Frederick J De La Vega (NPI# 1427169069, PAC ID# 8628062569) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1427169069 |
| PAC ID by PECOS | 8628062569 |
| Professional Enrollment ID | I20040826001026 |
| Full Name | Frederick J De La Vega |
| Address |
9834 Genesee Ave Suite 411 La Jolla CA 92037-1264 |
| Gender | M |
| Credential | MD |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | NEUROLOGY |
| Secondary Specialties | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050324 | SCRIPPS MEMORIAL HOSPITAL LA JOLLA |
| 050503 | SCRIPPS MEMORIAL HOSPITAL - ENCINITAS |
| 050077 | SCRIPPS MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9834 Genesee Ave, Suite 411, La Jolla, CA 92037-1264 | ||
| 9888 Genesee Ave, La Jolla, CA 92037-1205 | 8584574123 | EMERGENCY AND ACUTE CARE MEDICAL CORPORATION |
| 7901 Frost St, San Diego, CA 92123-2701 | 8589393400 | EMERGENCY AND ACUTE CARE MEDICAL CORPORATION |
| Street Address |
9834 GENESEE AVE SUITE 411 |
| City | LA JOLLA |
| State | CA |
| Zip | 92037-1264 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David S Michelson | Ophthalmology | Paul E Michelson Md, Inc | 9834 Genesee Ave, Suite 200, La Jolla, CA 92037-1225 |
| Mary Susan Seaman | Nurse Practitioner | Howard Miller, Md Apc | 9834 Genesee Ave, Suite 412, La Jolla, CA 92037-1264 |
| James G Schwendig | General Surgery | Scripps Health | 9834 Genesee Ave, Suite 221, La Jolla, CA 92037-1215 |
| Robyn Cohen | Ophthalmology | Paul E Michelson Md, Inc | 9834 Genesee Ave, Suite 200, La Jolla, CA 92037-1225 |
| Robert M Thomas Jr. | Ophthalmology | John E Bokosky Md Facs Inc | 9834 Genesee Ave, Suite 428, La Jolla, CA 92037-1264 |
| Teresa L Key | Psychologist, Clinical | 9834 Genesee Ave, Suite 427, La Jolla, CA 92037-1264 | |
| Mark Nelson | Orthopedic Surgery | 9834 Genesee Ave, Suite 223, La Jolla, CA 92037-1215 | |
| Gail T Tominaga | General Surgery | Scripps Health | 9834 Genesee Ave, Suite 221, La Jolla, CA 92037-1215 |
| Robert V Barthel | Internal Medicine | Howard Miller, Md Apc | 9834 Genesee Ave, Suite 412, La Jolla, CA 92037-1264 |
| Tatiana A Neumann | Family Medicine | 9834 Genesee Ave, Suite 400, La Jolla, CA 92037-1216 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marjan Davoudi | Psychologist, Clinical | 3262 Holiday Court, Suite 220, La Jolla, CA 92037 | |
| Vanessa R Wang | Physician Assistant | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Robert R Varney | Interventional Radiology | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Gordon Lee Kim | Gastroenterology | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Peter D Aldrich | Internal Medicine | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Katrina I Deleon | Geriatric Medicine | Scripps Health | 10666 N Torrey Pines Rd, 2nd Floor Sw209, La Jolla, CA 92037-1027 |
| Virginia T Chan | Hospitalist | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Laura J Nicholson | Hospitalist | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Christopher L Marsh | Urology | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Shazia M Jamil | Critical Care (intensivists) | Scripps Health | 10666 N Torrey Pines Rd, 2nd Floor Sw209, La Jolla, CA 92037-1027 |
| Find all physicians in zip 92037 | |||
| City | LA JOLLA |
| Zip Code | 92037 |
| Specialty | NEUROLOGY |
| City + Specialty | LA JOLLA + NEUROLOGY |
Please comment or provide details below to improve the information on Frederick J De La Vega.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.