NPIMap

Organization Active NPI

San Diego Vamc

  • VA Clinic/Center
  • San Diego, CA
National Provider Identifier
1265823231
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
SAN DIEGO VAMC
Practice address
8989 Rio San Diego Dr Ste 350
San Diego, CA 92108-1605
Phone
(702) 341-3020
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Erin Potter
Title
Npi Team Member
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

8989 Rio San Diego Dr Ste 350
San Diego, CA 92108-1605

Mailing address

PO Box 94416
Cleveland, OH 44101-4416
Phone (702) 341-3020

Other names 1

  • SAN DIEGO VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
San Diego Vamc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

8989 Rio San Diego Dr
Ste 350
San Diego, CA 92108
Phone (619) 228-8000

8989 Rio San Diego Dr
Ste 360
San Diego, CA 92108
Phone (619) 228-8080

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1265823231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94416",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014416",
            "telephone_number": "702-341-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8989 RIO SAN DIEGO DR STE 350",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081605",
            "telephone_number": "702-341-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM MEMBER",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN DIEGO VA CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SAN DIEGO VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.