San Diego Vitreoretinal Associates

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G26296

Legal business name

SAN DIEGO VITREORETINAL ASSOCIATES

Practice address

9834 Genesee Avenue
Suite 315
La Jolla, CA 92037-1221

Phone

(858) 457-4090

Fax

(858) 457-1543

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Terence Daly, MD

Title

President

Phone

(858) 457-4090

Specialties & licenses 1

Addresses

Other identifiers 10

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robyn Grossman Cohen, MD

  • Ophthalmology Physician
  • La Jolla, CA
  • NPI 1093816423
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1932200367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVENUE",
            "address_2": "SUITE 315",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371221",
            "telephone_number": "858-457-4090",
            "fax_number": "858-457-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVENUE",
            "address_2": "SUITE 315",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371221",
            "telephone_number": "858-457-4090",
            "fax_number": "858-457-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO VITREORETINAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "TERENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-457-4090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": "G26296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR006892",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "GR0068981",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "GR0068982",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0068983",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ61560Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0068981",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180032742",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ55528Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0068980",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "GR0068983",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• San Diego VA Healthcare System
• San Diego Women'S Health, Inc.
• Jean Sanborn, R.D.
• Rene O Sanchez-Mejia, MD
• Amanda J Sanchez, ASW
• Jennifer Sanchez

• Ophthalmology Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.