Active NPI
Vicki Lynn Love, ARNP
- Family Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201703861NP-PP
- Practice address
- 823 Gateway Center Way
San Diego, CA 92102-4541 - Phone
- (619) 515-2300
- Fax
- (619) 269-0674
- NPI assigned
- Nov 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 17362 | CA | |
| Family Nurse Practitioner | 363LF0000X | 201703861NP-PP | OR | Primary |
Addresses
Primary practice location
823 Gateway Center Way
San Diego, CA 92102-4541
Mailing address
823 Gateway Center Way
San Diego, CA 92102-4541
Phone (619) 515-2300
Other practice location 1
35 Mullins Dr Ste 2
Lebanon, OR 97355-3985
Phone (541) 451-7915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9635046 | Medicaid | WA |
Other names 1
- Mrs. Vicki Biles
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vlove304536@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201703861NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Networks on Demand, LLC | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients |
Locations
4725 Market St
San Diego, CA 92102
Phone (619) 515-2560
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
10221 SE Sunnyside Rd
Clackamas, OR 97015
2490 Willamette St
Ste 4
Eugene, OR 97405
Phone (541) 746-7671
6910 SE Milwaukie Ave
Portland, OR 97202
2990 Commercial St SE
Ste 160
Salem, OR 97302
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- General Practice Physician
- Tigard, OR
- NPI 1023582178
-
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1346480837
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1699759134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 GATEWAY CENTER WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921024541",
"telephone_number": "619-515-2300",
"fax_number": "619-269-0674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 GATEWAY CENTER WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921024541",
"telephone_number": "619-515-2300",
"fax_number": "619-269-0674"
}
],
"practiceLocations": [
{
"address_1": "35 Mullins Dr Ste 2",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "OR",
"postal_code": "973553985",
"country_code": "US",
"telephone_number": "541-451-7915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOVE",
"first_name": "VICKI",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "17362",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201703861NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9635046",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vlove304536@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "35 Mullins Dr Ste 2",
"city": "Lebanon",
"state": "OR",
"country_code": "US",
"postal_code": "973553985",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "VICKI",
"last_name": "BILES",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.