Department of Veterans Affairs

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

LCS 18306 Issued in CA

Legal business name

DEPARTMENT OF VETERANS AFFAIRS

Practice address

795 Willow Rd # 11NH
Department of Veterans Affairs
Menlo Park, CA 94025-2539

Phone

(650) 493-5000

Fax

(650) 617-2616

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Shirley Retuta Salom-Bail, MSW, MSGNPI 1952559791

Title

Supervisory Social Worker

Phone

(650) 493-5000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirley Retuta Salom-Bail, LCSW, MSG

  • Clinical Social Worker
  • Menlo Park, CA
  • NPI 1952559791
  NPD (past) Authorized official

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1740295534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 WILLOW RD # 11NH",
            "address_2": "DEPARTMENT OF VETERANS AFFAIRS",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252539",
            "telephone_number": "650-493-5000",
            "fax_number": "650-617-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 WILLOW RD # 11NH",
            "address_2": "DEPARTMENT OF VETERANS AFFAIRS",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252539",
            "telephone_number": "650-493-5000",
            "fax_number": "650-617-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "SALOM-BAIL",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "RETUTA",
        "authorized_official_title_or_position": "SUPERVISORY SOCIAL WORKER",
        "authorized_official_telephone_number": "650-493-5000",
        "authorized_official_credential": "MSW, MSG"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "LCS 18306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Victoria Delgadillo, LMSW
• Lisa Delos Santos, O.D.
• Charlotte Deng
• Manpreet Kaur Deol, M.A RADT-1
• Department of Veteran Affairs
• Harshita Desai, PSYD
• Pooja Pramod Deshpande
• Karin Diamond
• Laura Diesh
• Patricia Dilkian, RN

• Skilled Nursing Facility in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.