SAN FRANCISCO VAMC NPI 1689976094

NPI Information

NPI: 1689976094
Provider Name: SAN FRANCISCO VAMC

Other Name: CLEARLAKE VA CBOC

Classification: Clinic/Center - 261QV0200X
Entity Type: Organization

Specialization: VA

Address:
15145 LAKESHORE DR
CLEARLAKE, CA
ZIP 95422
Phone: (702) 341-3020
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SAN FRANCISCO VAMC is a va clinic center in Clearlake, CA. SAN FRANCISCO VAMC NPI is 1689976094. The provider is registered as an organization entity type.
The provider Other Name Is Clearlake Va Cboc.

The provider's business location address is:

15145 LAKESHORE DR
CLEARLAKE, CA
ZIP 95422-106
Phone: (702) 341-3020

The provider's authorized official is Erin Potter .
The authorized official title is Npi Team Member and has the following contact phone number (202) 382-2579.

The enumeration date for this NPI number is 11/18/2010 and was last updated on 11/1/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QV0200X	Clinic/Center	VA			Yes

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: 5/5/2024

NPI Synchronization or Removal

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