Organization Active NPI

Virginia Breast Care, PLC

  • Surgery Physician
  • Charlottesville, VA
National Provider Identifier
1578616702
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
VIRGINIA BREAST CARE, PLC
Practice address
595 Martha Jefferson Dr
Suite 320
Charlottesville, VA 22911-4669
Phone
(434) 984-6121
Fax
(434) 984-3011
NPI assigned
Jan 19, 2007
Last updated
Aug 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Mrs. Jasmine Joseth Daniel
Title
Cfo
Phone
(434) 984-2909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

595 Martha Jefferson Dr
Suite 320
Charlottesville, VA 22911-4669

Mailing address

595 Martha Jefferson Dr
Suite 320
Charlottesville, VA 22911-4669
Phone (434) 984-6121

National Provider Directory

National Provider Directory

Locations

595 Martha Jefferson Dr
#32
Charlottesville, VA 22911
Phone (434) 984-6121

595 Martha Jefferson Dr
#320
Charlottesville, VA 22911
Phone (434) 984-2909

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1578616702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 MARTHA JEFFERSON DR",
            "address_2": "SUITE 320",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114669",
            "telephone_number": "434-984-6121",
            "fax_number": "434-984-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 MARTHA JEFFERSON DR",
            "address_2": "SUITE 320",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114669",
            "telephone_number": "434-984-6121",
            "fax_number": "434-984-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA BREAST CARE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "JOSETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "434-984-2909",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.