GARY VANDENBERG MD
NPI 1912122680
Legal Medicine in La Jolla, CA

Active since April 16, 2007
9834 GENESEE AVE, SUITE 326, LA JOLLA, CA 92037(858) 453-3813(858) 453-1727 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Gary Vandenberg Md NPPES

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

GARY VANDENBERG MD (NPI 1912122680) is an individual legal medicine provider in La Jolla, California, licensed in California (C33053) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1912122680
Entity TypeIndividualMale
Primary Taxonomy173000000X
Provider Legal NameGARY VANDENBERGCredential: MD
Location Address9834 GENESEE AVE, SUITE 326La Jolla, CA 92037-1223
Mailing Address9834 Genesee Ave, Suite 326La Jolla, CA 92037-1223 · (858) 453-3813 · Fax (858) 453-1727
Fax(858) 453-1727
Sole ProprietorYes
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912122680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License✔ Licensed in CA · C33053
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
9834 GENESEE AVE, La Jolla, CA 92037

Other Identifiers 1

Medicare ID-Type UnspecifiedC33053CA · California State License

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.

Ophthalmology
9834 GENESEE AVE, SUITE 200
LA JOLLA, CA 92037
Internal Medicine (Cardiovascular Disease)
9834 GENESEE AVE, SUITE 300
LA JOLLA, CA 92037
Speech-Language Pathologist
9834 GENESEE AVE
LA JOLLA, CA 92037
Plastic Surgery
9834 GENESEE AVE, SUITE 210
LA JOLLA,, CA 92037
Ophthalmology
9834 GENESEE AVE, SUITE 200
LA JOLLA, CA 92037
Marriage & Family Therapist
9834 GENESEE AVE, STE. 427
LA JOLLA, CA 92037
Specialist
9834 GENESEE AVE, SUITE #411
LA JOLLA, CA 92037
Specialist
9834 GENESEE AVE, 411
LA JOLLA, CA 92037

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's NPI number?

The NPI number for Gary Vandenberg is 1912122680. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Gary Vandenberg located?

Gary Vandenberg practices at 9834 Genesee Ave Suite 326, La Jolla, CA 92037. The listed phone number is (858) 453-3813.

What is Gary Vandenberg's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

When was this NPI record last updated?

The NPPES record for Gary Vandenberg 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.