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Theodore Vandam M.D.

Internal Medicine Physician in San Clemente, CA · enumerated 2007 · authorized official Theodore Vandam, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699978304

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Registry record

Entity type Organization (Type 2)
Legal business name Theodore Vandam M.D.
Practice address 665 Camino De Los Mares, Ste 210, San Clemente, CA, 92673
Fax (949) 240-6841
Enumeration date Jun 8, 2007
Last updated in NPPES Jul 28, 2010

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License A24788 (CA) Primary

Authorized official

Name Theodore Vandam
Title President

Other identifiers

Identifier Type State Issuer
00A247880 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Theodore Vandam M.D.?
Theodore Vandam M.D. is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-07-28.