Brenda Geraldine Van Loggem, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

589781 Issued in CA

Practice address

6920 Miramar Rd
San Diego, CA 92121-2632

Phone

(858) 935-7379

NPI assigned

Dec 2, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1750683314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31570 EAGLE ROCK WAY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926518299",
            "telephone_number": "949-715-0464",
            "fax_number": "949-715-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 MIRAMAR RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212632",
            "telephone_number": "858-935-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LOGGEM",
        "first_name": "BRENDA",
        "middle_name": "GERALDINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "589781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Van Hoose Optometric Corporation
• Marc Cameron Van Hoose, O.D.
• Olivia Grace Van Houten
• Willa Lynn Van Houten
• Jesse James Van Leeuwen-Beloussow, DNP, FNP-C, ACNP
• Cynthia Ann Van Lom, M.F.T.
• Alicia Van Nice
• Anna Kathryn Van Niekerk, DO
• Philippus Jacobus Van Niekerk, DO
• Linda E Van Noy, NP

• Gerontology Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.