VA SAN DIEGO
NPI 1174995484
Clinic/Center - Primary Care in Escondido, CA

NPI Status: Active since October 26, 2015

Contact Information

815 E PENNSYLVANIA AVE
ESCONDIDO, CA
ZIP 92025
Phone: (760) 466-7020

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 05D1104272
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About VA SAN DIEGO

This page provides the complete NPI Profile along with additional information for Va San Diego, a primary care provider established in Escondido, California operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1174995484 assigned on October 2015. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Jessica Miller Dnp (Nurse Practitioner)

NPI
1174995484
Provider Name
VA SAN DIEGO
Entity Type
Organization
Location Address
815 E PENNSYLVANIA AVE ESCONDIDO, CA 92025
Location Phone
(760) 466-7020
Mailing Address
519 STRATFORD CT UNIT B DEL MAR, CA 92014
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2015
Last Update Date
10-26-2015
Code Navigator

A primary care provider (PCP) like Va San Diego sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JESSICA MILLER DNP

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(808) 391-2200

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D1104272
Facility Type
Community Clinic
Certificate Effective Date
August 28, 2009
Certificate Expiration Date
May 22, 2026
Laboratory Director
LILY JIH
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Va San Diego on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174995484, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 8 + 9 + 1 + 0 + 4 + 1 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1174995484.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
815 E PENNSYLVANIA AVE
ESCONDIDO, CA 92025
Nurse Practitioner (Adult Health)
815 E PENNSYLVANIA AVE
ESCONDIDO, CA 92025
Nurse Practitioner (Adult Health)
815 E PENNSYLVANIA AVE
ESCONDIDO, CA 92025
Clinic/Center (Primary Care)
815 E PENNSYLVANIA AVE
ESCONDIDO, CA 92025
Registered Nurse
815 E PENNSYLVANIA AVE
ESCONDIDO, CA 92025
Nurse Practitioner (Family)
815 E PENNSYLVANIA AVE
ESCONDIDO, CA 92025
Contractor
815 E PENNSYLVANIA AVE
ESCONDIDO, CA 92025
Counselor (Mental Health)
815 E PENNSYLVANIA AVE
ESCONDIDO, CA 92025
Social Worker (Clinical)
815 E PENNSYLVANIA AVE
ESCONDIDO, CA 92025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174995484, enumerated as an "organization" on October 26, 2015.

The provider is located at 815 E PENNSYLVANIA AVE ESCONDIDO, CA 92025 and the phone number is (760) 466-7020.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.