VA Health Care System

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

P003597 Issued in NC

Legal business name

VA HEALTH CARE SYSTEM

Practice address

3801 Miranda Ave
Palo Alto, CA 94304-1207

Phone

(650) 493-5000

Fax

(650) 617-2614

NPI assigned

Jun 25, 2009

Organization subpart

No

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

Authorized official

Name

Doretha Jean Myers, P-LCSW

Title

Clinical Social Worker

Phone

(650) 493-5000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1114155439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 WILLOW ROAD",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "94025",
            "telephone_number": "650-493-5000",
            "fax_number": "650-617-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "650-493-5000",
            "fax_number": "650-617-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "DORETHA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "650-493-5000",
        "authorized_official_credential": "P-LCSW"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NC",
            "license": "P003597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arany Uthayakumar, MD
• Heidrun K Utz, PHARM D
• Charry-Noelle Chua Uy
• Janell Uyehara, P.T.
• VA Aplo Alto Health Care System
• VA Palo Alto HCS
• VA Palo Alto Health Care System
• VA Palo Alto Health Care System
• VA Palo Alto Health Care System
• VA Palo Alto Healthcare System

• Psychiatric Hospital in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Psychiatric Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.