Michael Vince, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

DOS-1041 Issued in HI

Practice address

2496 Bauer Road
San Diego, CA 92126

Phone

(619) 881-9011

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vincent Peronti Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1740260793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 ORANGE AVE #136",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "92118",
            "telephone_number": "407-814-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2496 BAUER ROAD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92126",
            "telephone_number": "619-881-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "HI",
            "license": "DOS-1041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VINCENT",
            "last_name": "PERONTI",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Olivia Villers
• Miguel Villodas
• Maria Cecilia Viloria, RN
• Monica Viloria, MS, CCC-SLP
• Edwin Valdez Vinarao
• Amalia Vincelette, DOCTOR OF AUDIOLOGY
• Chris Vinceneux, OTR
• Vincent Huy Nguyen, DDS, Inc
• Vincent Q. Nguyen, M.D., Inc.
• Berline Vincent

• General Practice Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.