Active NPI
Vernon M White, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Chula Vista, CA
National Provider Identifier
1871518589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- A35631
- Practice address
- 340 4TH Ave Ste 5a
Chula Vista, CA 91910-3813 - Phone
- (619) 498-1100
- Fax
- (619) 498-8024
- NPI assigned
- Jul 13, 2006
- Last updated
- Dec 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | A35631 | CA | Primary |
Addresses
Primary practice location
340 4TH Ave Ste 5a
Chula Vista, CA 91910-3813
Mailing address
340 4TH Ave Ste 5a
Chula Vista, CA 91910-3813
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A356311 | Medicaid | CA | |
| 5212129 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A35631 | CA | MD | Geriatric Medicine (Family Medicine) Physician |
| A35361 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dansin, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293062400000",
"number": "1871518589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 4TH AVE STE 5A",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919103813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 4TH AVE STE 5A",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919103813",
"telephone_number": "619-498-1100",
"fax_number": "619-498-8024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "VERNON",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2010-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "A35631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A356311",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5212129",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.