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GARY VANDENBERG,JR., M.D.,INC.
NPI 1306355714
Clinic/Center - Primary Care in La Jolla, CA

Active since September 28, 2017
9834 GENESEE AVE STE 326, LA JOLLA, CA 92037(858) 453-3813(858) 453-1727 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gary Vandenberg,jr., M.d.,inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY VANDENBERG,JR., M.D.,INC. (NPI 1306355714) is a healthcare organization registered as a primary care in La Jolla, California and active in the NPI registry since September 2017. The organization lists Gary Vandenberg, President, as its authorized official.

NPPES Registry Identity

NPI1306355714
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGARY VANDENBERG,JR., M.D.,INC.
Location Address9834 GENESEE AVE STE 326La Jolla, CA 92037-1216
Mailing Address9834 Genesee Ave Ste 326La Jolla, CA 92037-1216 · (858) 453-3813 · Fax (858) 453-1727
Phone(858) 453-3813
Fax(858) 453-1727
Organization SubpartNo
Authorized OfficialGary VandenbergPresident · (858) 453-3813
Enumeration DateSeptember 28, 2017
Last NPPES UpdateJuly 21, 2022
✔ NPI 1306355714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · C33053
9834 GENESEE AVE STE 326, La Jolla, CA 92037
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Other Identifiers 1

OtherC33053CA · M.d.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Vandenberg,jr., M.D.,inc.'s NPI number?

The NPI number for Gary Vandenberg,jr., M.D.,inc. is 1306355714. It was assigned to this organization in the NPPES registry on September 28, 2017.

Where is Gary Vandenberg,jr., M.D.,inc. located?

Gary Vandenberg,jr., M.D.,inc. is located at 9834 Genesee Ave Ste 326, La Jolla, CA 92037. The listed phone number is (858) 453-3813.

What is Gary Vandenberg,jr., M.D.,inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Gary Vandenberg,jr., M.D.,inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.