VA San Diego Healthcare System

Primary specialty

Military General Acute Care HospitalTaxonomy code 2865M2000X

License

ASW 21803 Issued in CA

Legal business name

VA SAN DIEGO HEALTHCARE SYSTEM

Practice address

3350 La Jolla Village Dr -Mail Box 122
San Diego, CA 92161-0002

Phone

(858) 642-3500

Fax

(858) 642-4755

NPI assigned

Mar 17, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Mara L. Davis, MSW

Title

Social Worker

Phone

(858) 642-3500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1578734729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 LA JOLLA VILLAGE DR -MAIL BOX 122",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921610002",
            "telephone_number": "858-642-3500",
            "fax_number": "858-642-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 LA JOLLA VILLAGE DR -MAIL BOX 122",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921610002",
            "telephone_number": "858-642-3500",
            "fax_number": "858-642-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA SAN DIEGO HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "858-642-3500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "CA",
            "license": "ASW 21803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• V&P Pharmacy
• VA Healthcare San Diego
• VA Hospital
• VA Hospital San Diego
• VA San Diego Healthcare System
• VA San Diego Healthcare System
• VA Sandiego Health Care System
• Herlinda Vaca
• Shadi Vaccani, PHARMD
• Deborah Ann Vacek, RN, FNP

• 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 Mar 17, 2008; 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.