MEDICARE: VICKI VO BIANCALANI DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	309787	CA

General Provider Information

NPI Number	:	1023965050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICKI VO BIANCALANI DPT

Provider Business Mailing Address
First Line	:	11766 CARMEL CREEK RD APT 302
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-6615
Country	:	US
Telephone Number	:	949-274-1649
Fax Number	:

Provider Business Practice Location Address
First Line	:	6255 NYGAARD ST
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92009-3001
Country	:	US
Telephone Number	:	760-603-9999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “ VICKI VO BIANCALANI DPT” Practice Location

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