Daniele Andree Vecchio, M.D.
Individual provider Active NPI Pediatrics Physician · Rancho Sant Fe, CA
NPI 1740416874 · NPPES record last updated Jun 3, 2009
Key facts
- NPI
- 1740416874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- G25755 (CA)
- Practice address
- 5621 Lago Lindo
Rancho Sant Fe, CA 92067 - Phone
- (858) 756-1733
- NPI assigned
- Jun 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G25755 | CA | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G25755 | CA | Yes |
Addresses
Primary practice location
5621 Lago Lindo
Rancho Sant Fe, CA 92067
Mailing address
P.O. Box 199
Rancho Sant Fe, CA 92067
Phone (858) 756-1733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G25755 | Other | CA | MEDICAL LICENCE |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.