Organization Active NPI

Randal J. Vecchione M.D., Inc., a Professional Corporation

  • Surgery Physician
  • San Diego, CA
National Provider Identifier
1376631333
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A34154 Issued in CA
Legal business name
RANDAL J. VECCHIONE M.D., INC., A PROFESSIONAL CORPORATION
Practice address
2542 2ND Ave
San Diego, CA 92103-6537
Phone
(619) 234-1674
Fax
(619) 234-1680
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Randal John Vecchione, M.D.
Title
President
Phone
(619) 234-1674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A34154 CA Primary

Addresses

Primary practice location

2542 2ND Ave
San Diego, CA 92103-6537

Mailing address

2542 2ND Ave
San Diego, CA 92103-6537
Phone (619) 234-1674

National Provider Directory

National Provider Directory

Locations

2542 2nd Ave
San Diego, CA 92103
Phone (619) 234-1674

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1376631333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 2ND AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036537",
            "telephone_number": "619-234-1674",
            "fax_number": "619-234-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 2ND AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036537",
            "telephone_number": "619-234-1674",
            "fax_number": "619-234-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDAL J. VECCHIONE M.D., INC., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "VECCHIONE",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-234-1674",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A34154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 15, 2007; 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.