NPIMap

Organization Active NPI

Vietnam Veterans of San Diego

Doing business as Veterans Village of San Diego

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
National Provider Identifier
1396873451
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
370010BN Issued in CA
Legal business name
VIETNAM VETERANS OF SAN DIEGO
Doing business as
Veterans Village of San Diego
Practice address
4141 Pacific Hwy
San Diego, CA 92110-2030
Phone
(619) 497-0142
Fax
(619) 497-0263
NPI assigned
Mar 1, 2007
Last updated
Jun 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Mr. Phil Landis
Title
President & C.E.O.
Phone
(619) 497-0142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 370010BN CA Primary

Addresses

Primary practice location

4141 Pacific Hwy
San Diego, CA 92110-2030

Mailing address

4141 Pacific Hwy
San Diego, CA 92110-2030
Phone (619) 497-0142

Other names 1

  • Veterans Village of San Diego Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vietnam Veterans of San Diego4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4141 Pacific Hwy
San Diego, CA 92110
Phone (619) 393-2000

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1396873451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 PACIFIC HWY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102030",
            "telephone_number": "619-497-0142",
            "fax_number": "619-497-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 PACIFIC HWY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102030",
            "telephone_number": "619-497-0142",
            "fax_number": "619-497-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIETNAM VETERANS OF SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "LANDIS",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "PRESIDENT & C.E.O.",
        "authorized_official_telephone_number": "619-497-0142",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "370010BN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Veterans Village of San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 10, 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.