VA San Diego

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VA SAN DIEGO

Practice address

815 E Pennsylvania Ave
Escondido, CA 92025-3424

Phone

(760) 466-7020

NPI assigned

Oct 26, 2015

Organization subpart

No

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

Authorized official

Name

Jessica Miller, DNP

Title

Nurse Practitioner

Phone

(808) 391-2200

Specialties & licenses 1

Addresses

Tax ID family

Crassociates2 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.

• Crassociates

  • Primary Care Clinic/Center
  • Escondido, CA
  • NPI 1073978508
  NPD tax ID

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1174995484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 STRATFORD CT",
            "address_2": "UNIT B",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E PENNSYLVANIA AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253424",
            "telephone_number": "760-466-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "808-391-2200",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Uribe
• Hannah Sue Eileen Urrutia
• US Healthworks Medical Group PC
• US Healthworks Medical Group PC
• Usv Optical Inc.
• Anthony Frank Vail, PH.D.
• Isaac Valadez
• Jacquelyn Adriana Valadez
• Maria Josefina Valadez, B.A.
• Gina M Valdez, PHYSICAL THERAPIST

• Primary Care Clinic/Center in Escondido, CA
• Providers in Escondido, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.