Department of Veterans Affairs

Primary specialty

Military HospitalTaxonomy code 286500000X

License

218349 Issued in MA

Legal business name

DEPARTMENT OF VETERANS AFFAIRS

Practice address

3350 La Jolla Village Dr
Social Work Service
San Diego, CA 92161-0002

Phone

(858) 552-8585

NPI assigned

Nov 8, 2016

Organization subpart

No

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

Authorized official

Name

Jessica Chamberlin

Title

Social Work Service Chief

Phone

(858) 642-3891

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1275075236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 LA JOLLA VILLAGE DR",
            "address_2": "SOCIAL WORK SERVICE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921610002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 LA JOLLA VILLAGE DR",
            "address_2": "SOCIAL WORK SERVICE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921610002",
            "telephone_number": "858-552-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SOCIAL WORK SERVICE CHIEF",
        "authorized_official_telephone_number": "858-642-3891"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "MA",
            "license": "218349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF VETERANS AFFAIRS",
            "identifier": "000000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Sisnando Deorsola
• James Depalermo
• Nicole Depalma, DPT
• Amanda Lyn Depaolo, LCSW
• Severiano Depardon
• Lauren Depaul
• Dependable Nursing Services, LLC
• Sharon Bautista Deperalta
• Heather Depinho
• Sarah Depol, MS

• Military Hospital in San Diego, CA
• Providers in San Diego, CA by specialty
• Military Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.