Organization Active NPI

Thomas R Vecchione MD a Professional Corporation

  • Ambulatory Surgical Clinic/Center
  • San Diego, CA
National Provider Identifier
1811202740
Registry record updated Dec 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
C30357 Issued in CA
Legal business name
THOMAS R VECCHIONE MD A PROFESSIONAL CORPORATION
Practice address
3399 1St Ave
San Diego, CA 92103-5601
Phone
(619) 297-4433
Fax
(619) 297-9247
NPI assigned
Aug 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2015

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

Authorized official

Name
Dr. Thomas Ray Vecchione, M.D.
Title
Surgeon
Phone
(619) 297-4433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X C30357 CA Primary

Addresses

Primary practice location

3399 1St Ave
San Diego, CA 92103-5601

Mailing address

3399 1St Ave
San Diego, CA 92103-5601
Phone (619) 297-4433

Other identifiers 1

IdentifierTypeStateIssuer
00C303570MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449360000000",
    "number": "1811202740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035601",
            "telephone_number": "619-297-4433",
            "fax_number": "619-297-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035601",
            "telephone_number": "619-297-4433",
            "fax_number": "619-297-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R VECCHIONE MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2015-12-06",
        "status": "A",
        "authorized_official_last_name": "VECCHIONE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "619-297-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "C30357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C303570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2015; 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.