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DR. SCOTT R. VANDENBERG MD NPI 1043268055


NPI Information

NPI: 1043268055
Provider Name: DR. SCOTT R. VANDENBERG, MD
Classification: Pathology - 207ZN0500X
Entity Type: Individual

Specialization: Neuropathology

PECOS Registration: Yes

Address:
513 PARNASSUS AVE
SAN FRANCISCO, CA
ZIP 94143
Phone: (415) 502-7796
Get Directions

DR. Scott R. Vandenberg, MD is a neuropathology pathology in San Francisco, CA. The provider is a neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. DR. Scott R. Vandenberg, MD NPI is 1043268055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

513 PARNASSUS AVE
SAN FRANCISCO, CA
ZIP 94143-205
Phone: (415) 502-7796
Fax: (415) 476-1963

The NPI 1043268055 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 6/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyG43859CALIFORNIANo
2207ZN0500XPathologyNeuropathologyG43859CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10G4385900MEDICAIDCALIFORNIA
2E10652MEDICARE UPINCALIFORNIA
30G4385900MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.