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Theodore Vandam M.D.

NPI 1699978304ActiveOrganization· Internal Medicine· San Clemente, CA

Internal Medicine in San Clemente, California, registered in NPPES in June 2007. The authorized official on file is Theodore Vandam, M.D., President.

Overview

NPI1699978304
StatusActive
Entity typeOrganization
NPI issuedJun 8, 2007
Last updated in NPPESJul 28, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine Primary207R00000XA24788CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Internal Medicine providers in San Clemente

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