NPIMap

Organization Active NPI

VA San Diego Healthcare System

  • Military Hospital
  • San Diego, CA
National Provider Identifier
1841596301
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
TRAINEE
Legal business name
VA SAN DIEGO HEALTHCARE SYSTEM
Practice address
4260 Porte de Palmas Unit 60
San Diego, CA 92122-5159
Phone
(858) 552-8585
NPI assigned
Feb 1, 2011
Last updated
Feb 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Dr. Shafagh Monazzam, M.D.NPI 1619276573
Title
Resident
Phone
(714) 595-2250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X TRAINEE Primary

Addresses

Primary practice location

4260 Porte de Palmas Unit 60
San Diego, CA 92122-5159

Mailing address

4260 Porte de Palmas Unit 60
San Diego, CA 92122-5159

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1841596301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 PORTE DE PALMAS UNIT 60",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 PORTE DE PALMAS UNIT 60",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225159",
            "telephone_number": "858-552-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA SAN DIEGO HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "MONAZZAM",
        "authorized_official_first_name": "SHAFAGH",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "714-595-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": null,
            "license": "TRAINEE",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 1, 2011; 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.