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THEODORE VANDAM M.D.
NPI 1699978304
Internal Medicine in San Clemente, CA

Active since June 08, 2007
665 CAMINO DE LOS MARES, STE 210, SAN CLEMENTE, CA 92673(949) 240-6772(949) 240-6841 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theodore Vandam M.d. NPPES

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

THEODORE VANDAM M.D. (NPI 1699978304) is a healthcare organization registered as an internal medicine in San Clemente, California and active in the NPI registry since June 2007. The organization lists Theodore Vandam, President, as its authorized official.

NPPES Registry Identity

NPI1699978304
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTHEODORE VANDAM M.D.
Location Address665 CAMINO DE LOS MARES, STE 210San Clemente, CA 92673-2859
Mailing Address665 Camino De Los Mares, Ste 210San Clemente, CA 92673-2859 · (949) 240-6772 · Fax (949) 240-6841
Phone(949) 240-6772
Fax(949) 240-6841
Organization SubpartNo
Authorized OfficialTheodore VandamPresident · (949) 240-6772
Enumeration DateJune 8, 2007
Last NPPES UpdateJuly 28, 2010
✔ NPI 1699978304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A24788
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
665 CAMINO DE LOS MARES, San Clemente, CA 92673
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Other Identifiers 3

Medicare UPINA24136CA
Medicare ID-Type UnspecifiedA24788CA
Medicaid00A247880CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANESTHESIA SNOOZ INC
Anesthesiology
665 CAMINO DE LOS MARES, #103
SAN CLEMENTE, CA 92673
Orange County (760) 729-7101
DR. GABRIEL CARABULEA M.D.
Internal Medicine (Hematology & Oncology)
665 CAMINO DE LOS MARES, STE 208
SAN CLEMENTE, CA 92673
Orange County (714) 466-0787
JOHN RUSSELL GORNY M.D.
Obstetrics & Gynecology
665 CAMINO DE LOS MARES, SUITE 203A
SAN CLEMENTE, CA 92673
Orange County (949) 661-3101
DANIEL T. TAM, M.D. INC
Internal Medicine (Cardiovascular Disease)
665 CAMINO DE LOS MARES, STE 305
SAN CLEMENTE, CA 92673
Orange County (949) 493-0811
WILLIAM CAPOBIANCO, D.D.S., INC
Dentist (General Practice)
665 CAMINO DE LOS MARES, SUITE 303
SAN CLEMENTE, CA 92673
Orange County (949) 443-2404
FARAMARZ PAYANDEH MD
Internal Medicine
665 CAMINO DE LOS MARES, #210
SAN CLEMENTE, CA 92673
Orange County (714) 665-1600
MRS. DENA MARIE DE LA TORRE CNM, WHCNP
Advanced Practice Midwife
665 CAMINO DE LOS MARES, SUITE 203A
SAN CLEMENTE, CA 92673
Orange County (949) 661-3101
DR. NICHOLAS C SALVATI DMD
Dentist
665 CAMINO DE LOS MARES, #205
SAN CLEMENTE, CA 92673
Orange County (949) 443-0161

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 Theodore Vandam M.D.'s NPI number?

The NPI number for Theodore Vandam M.D. is 1699978304. It was assigned to this organization in the NPPES registry on June 8, 2007.

Where is Theodore Vandam M.D. located?

Theodore Vandam M.D. is located at 665 Camino De Los Mares Ste 210, San Clemente, CA 92673. The listed phone number is (949) 240-6772.

What is Theodore Vandam M.D.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Theodore Vandam M.D. was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.