Department of Veteran Affairs

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

ASW22448 Issued in CA

Legal business name

DEPARTMENT OF VETERAN AFFAIRS

Practice address

795 Willow Rd
(180D)
Menlo Park, CA 94025-2539

Phone

(650) 493-5000

Fax

(650) 617-6709

NPI assigned

Mar 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Gary Noveda Cabardo, ASW

Title

Social Worker Case Manager

Phone

(650) 493-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1104149947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 WILLOW RD",
            "address_2": "(180D)",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252539",
            "telephone_number": "650-493-5000",
            "fax_number": "650-617-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 WILLOW RD",
            "address_2": "(180D)",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252539",
            "telephone_number": "650-493-5000",
            "fax_number": "650-617-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERAN AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "CABARDO",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "NOVEDA",
        "authorized_official_title_or_position": "SOCIAL WORKER CASE MANAGER",
        "authorized_official_telephone_number": "650-493-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ASW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "ASW22448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATE CLINICAL SOCIAL WORKER",
            "identifier": "ASW22448",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andre Delagnes
• Elizabeth Victoria Delgadillo, LMSW
• Lisa Delos Santos, O.D.
• Charlotte Deng
• Manpreet Kaur Deol, M.A RADT-1
• Department of Veterans Affairs
• Harshita Desai, PSYD
• Pooja Pramod Deshpande
• Karin Diamond
• Laura Diesh

• Community/Behavioral Health Agency in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.