Organization Active NPI

Robert J. Vallone, D.P.M., Inc.

  • Primary Podiatric Medicine Podiatrist
  • San Diego, CA
National Provider Identifier
1831251024
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
E2715 Issued in CA
Legal business name
ROBERT J. VALLONE, D.P.M., INC.
Practice address
3363 4TH Ave
San Diego, CA 92103-5703
Phone
(619) 295-9494
Fax
(619) 295-9714
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Dr. Robert J Vallone, D.P.M.
Title
President
Phone
(619) 295-9494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X E2715 CA Primary

Addresses

Primary practice location

3363 4TH Ave
San Diego, CA 92103-5703

Mailing address

3363 4TH Ave
San Diego, CA 92103-5703
Phone (619) 295-9494

Other identifiers 1

IdentifierTypeStateIssuer
000E27150MedicaidCA

National Provider Directory

National Provider Directory

Locations

15725 Pomerado Rd
Poway, CA 92064
Phone (858) 451-3110

3363 4th Ave
San Diego, CA 92103
Phone (619) 295-3434

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1831251024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3363 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035703",
            "telephone_number": "619-295-9494",
            "fax_number": "619-295-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035703",
            "telephone_number": "619-295-9494",
            "fax_number": "619-295-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. VALLONE, D.P.M., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "VALLONE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-295-9494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E2715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E27150",
            "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 Aug 1, 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.