Active NPI
Charles J Vella, PH.D.
- Clinical Neuropsychologist
- San Francisco, CA
National Provider Identifier
1902967672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY 5464
- Practice address
- 4141 Geary Blvd
Kaiser Hospital
San Francisco, CA 94118-3109 - Phone
- (415) 833-3146
- Fax
- (415) 833-4765
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY 5464 | CA | Primary |
Addresses
Primary practice location
4141 Geary Blvd
Kaiser Hospital
San Francisco, CA 94118-3109
Mailing address
4141 Geary Blvd
Kaiser, Dept. Psychiatry
San Francisco, CA 94118-3109
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 5464 | CA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185148800000",
"number": "1902967672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4141 GEARY BLVD",
"address_2": "KAISER, DEPT. PSYCHIATRY",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941183109",
"fax_number": "415-833-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 GEARY BLVD",
"address_2": "KAISER HOSPITAL",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941183109",
"telephone_number": "415-833-3146",
"fax_number": "415-833-4765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELLA",
"first_name": "CHARLES",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY 5464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.