Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vamsi Krishna Vennam, DO

Individual provider Psychiatry Physician · NPI 1679070569

Vamsi Krishna Vennam, DO is a Psychiatry in San Diego, California. Graduated from Lincoln Mem Univ, Debusk Col of Osteopathic Med in 2018, 8 years ago. Practices with Mark David Levine MD Professional Corporation, a 157-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Trained at
Lincoln Mem Univ, Debusk Col of Osteopathic Med
Licensed in
CA
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

15373 Innovation Dr Ste 390
San Diego, CA 92128-3429
Phone: (858) 673-3360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 20A19415 (CA)

Record details

NPI number1679070569
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 9, 2018
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolLINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated 2018 (8 years in practice)
Group practice Mark David Levine Md Professional Corporation — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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