SDFC Ivf and Andrology Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D0694844 Issued in CA

Legal business name

SDFC IVF AND ANDROLOGY LABORATORY

Practice address

11515 El Camino Real Ste 100
San Diego, CA 92130-3034

Phone

(858) 794-6363

Fax

(858) 794-6360

NPI assigned

Feb 14, 2007

Last updated

Jan 19, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Vandolah, RN,MBA

Title

Ceo

Phone

(858) 720-3177

Specialties & licenses 1

Addresses

Tax ID family

SDFC Ivf and Andrology Laboratory2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• SDFC Ivf and Andrology Laboratory

  • Clinical Medical Laboratory
  • San Diego, CA
  • NPI 1457210031
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• SDFC Ivf and Andrology Laboratory

  • Clinical Medical Laboratory
  • San Diego, CA
  • NPI 1457210031
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1093858946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11425 EL CAMINO REAL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302045",
            "telephone_number": "858-794-6363",
            "fax_number": "858-794-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 EL CAMINO REAL STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303034",
            "telephone_number": "858-794-6363",
            "fax_number": "858-794-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDFC IVF AND ANDROLOGY LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "VANDOLAH",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-720-3177",
        "authorized_official_credential": "RN,MBA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0694844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SD Nutrition Group
• SD Rental Auto Corporation
• SD Sports Medicine and Family Health Center
• SD Zen Licensed Clinical Social Worker Professional Corporation (SD Zen)
• Sdcph
• SDFC Ivf and Andrology Laboratory
• SDMT Ambulance Services, LLC
• Sdosc, LP (San Diego Outpatient Ambulatory Surgical Center)
• Sdva Heathcare System
• Sdy Management, LLC

• Clinical Medical Laboratory in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.