SHARP CORONADO - NAVY RESOURCE SHARING (NPI# 1013479476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013479476 |
| Entity Type | Organization |
| Organization Name | SHARP CORONADO - NAVY RESOURCE SHARING |
| Practice Address |
250 Prospect Pl Coronado CA 92118-1943 |
| Mailing Address |
34800 Bob Wilson Dr San Diego CA 92134-1098 |
| Practice Telephone | 6195223600 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |
| Authorized Official Name | WILLIAM M CONDON (UBO MANAGER) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL MEDICAL CENTER SAN DIEGO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Street Address |
250 PROSPECT PL |
| City | CORONADO |
| State | CA |
| Zip Code | 92118-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989793 | Emergency Care Dynamics Inc | Emergency Medicine | 250 Prospect Pl, Coronado, CA 92118-1943 | 2005-08-10 |
| 1922611946 | Cep America - Neurology PC | Psychiatry & Neurology | 250 Prospect Pl, Coronado, CA 92118-1943 | 2020-08-28 |
| 1598395675 | Emergency Services Medical Corporation Coronado | Emergency Medicine | 250 Prospect Pl, Coronado, CA 92118-1943 | 2020-01-17 |
| 1093280588 | Obel Borrajero | Nurse Practitioner | 250 Prospect Pl, Coronado, CA 92118-1943 | 2018-10-10 |
| 1538661285 | Jessica Morgan Bogle | Emergency Medicine | 250 Prospect Pl, Coronado, CA 92118-1943 | 2018-03-07 |
| 1932622156 | Johnny Garcia | Registered Nurse | 250 Prospect Pl, Coronado, CA 92118-1943 | 2017-07-19 |
| 1770036352 | Jessica Burley | Hospitalist | 250 Prospect Pl, Coronado, CA 92118-1943 | 2016-07-29 |
| 1780936989 | Hue Nguyen | Pharmacist | 250 Prospect Pl, Coronado, CA 92118-1943 | 2012-10-11 |
| 1649579202 | William M Wansa Medical Group | Emergency Medicine | 250 Prospect Pl, Coronado, CA 92118-1943 | 2011-03-22 |
| 1053645671 | Michael Edwin Kalafer | Internal Medicine | 250 Prospect Pl, Coronado, CA 92118-1943 | 2009-09-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962997643 | Natalie Bailey | Dentist | 1010 8th St Ste A, Coronado, CA 92118 | 2018-06-26 |
| 1639661143 | Rebecca L. Frazier | Acupuncturist | 543 Orange Ave., Coronado, CA 92118 | 2018-05-31 |
| 1376046201 | Laura Mead Clapper | Pediatrics | 840 Adella Ave, Coronado, CA 92118 | 2018-03-16 |
| 1154836336 | Sarah R Peck | Occupational Therapy Assistant | 1530 Da Nang Dr Apt C, Coronado, CA 92118 | 2017-12-09 |
| 1962921395 | Jennifer Waidelich | Physical Therapist | 410 E Ave, Coronado, CA 92118 | 2017-09-18 |
| 1861843641 | Cliff Lovick I | Counselor | 1522 Frist St. Apt M 106, Coronada, CA 92118 | 2016-06-23 |
| 1184004871 | Melanie Villalobos | Dentist | 1001 B Ave #313, Coronado, CA 92118 | 2015-06-08 |
| 1801273479 | Jacqueline Brogan | Dermatology | 230 Prospect Pl Ste 260, Coronado, CA 92118 | 2015-05-02 |
| 1790184083 | Robert Cole Dunlap | Optometrist | 810 J Avenue, Coronado, CA 92118 | 2014-08-22 |
| 1235493602 | Jin Ah | Acupuncturist | 2425 Camino De Rio South, Suite 180, San Diego, CA 92118 | 2012-06-29 |
| Find all providers in zip 92118 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154304475 | Sharp Coronado Hospital and Healthcare Center | General Acute Care Hospital | 250 Prospect Pl, Coronado, CA 92118-1943 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.