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DR. THEODORE RICHARD VAN DAM M.D.
NPI 1871527226
Internal Medicine in San Clemente, CA

Active since July 10, 2006PECOS Enrolled
665 CAMINO DE LOS MARES, 210, SAN CLEMENTE, CA 92673(949) 240-6772(949) 240-6841 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theodore Richard Van Dam M.d. NPPES

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

DR. THEODORE RICHARD VAN DAM M.D. (NPI 1871527226) is an individual internal medicine provider in San Clemente, California, licensed in California (A24788) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871527226
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. THEODORE RICHARD VAN DAMCredential: M.D.
Location Address665 CAMINO DE LOS MARES, 210San Clemente, CA 92673
Mailing Address665 Camino De Los Mares, 210San Clemente, CA 92673 · (949) 240-6772 · Fax (949) 240-6841
Phone(949) 240-6772
Fax(949) 240-6841
Sole ProprietorYes
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1871527226 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 2

Medicare ID-Type UnspecifiedA24788CA
Medicare UPINA24136CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore Richard Van Dam M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92673 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Van Dam's NPI number?

The NPI number for Theodore Van Dam is 1871527226. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Theodore Van Dam located?

Theodore Van Dam practices at 665 Camino De Los Mares 210, San Clemente, CA 92673. The listed phone number is (949) 240-6772.

What is Theodore Van Dam's specialty?

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

Is Theodore Van Dam enrolled in Medicare?

Yes. Theodore Van Dam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodore Van Dam was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.