NPIMap

Organization Active NPI

Martinez Vamc

  • VA Clinic/Center
  • French Camp, CA
National Provider Identifier
1720715170
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
MARTINEZ VAMC
Practice address
6505 S Manthey Rd
French Camp, CA 95231-9518
Phone
(702) 341-3020
Fax
(702) 341-3503
NPI assigned
Aug 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Erin Denise Potter
Title
Npi Team Lead
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

6505 S Manthey Rd
French Camp, CA 95231-9518

Mailing address

PO Box 94412
Cleveland, OH 44101-4412
Phone (702) 341-3020

Other names 1

  • FRENCH CAMP VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Martinez Vamc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

6505 S Manthey Rd
French Camp, CA 95231
Phone (209) 851-7302

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1720715170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94412",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014412",
            "telephone_number": "702-341-3020",
            "fax_number": "702-341-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 S MANTHEY RD",
            "city": "FRENCH CAMP",
            "state": "CA",
            "postal_code": "952319518",
            "telephone_number": "702-341-3020",
            "fax_number": "702-341-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "NPI TEAM LEAD",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRENCH CAMP VA CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FRENCH CAMP VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in French Camp, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.