NAVY MEDICAL CENTER SAN DIEGO (NPI# 1023356110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023356110 |
| Entity Type | Organization |
| Organization Name | NAVY MEDICAL CENTER SAN DIEGO |
| Practice Address |
2051 Cushing Rd San Diego CA 92106-6173 |
| Mailing Address |
780 Camino De La Reina Apt 244 San Diego CA 92108-3230 |
| Practice Telephone | 6195246484 |
| Mailing Telephone | 7038511975 |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |
| Authorized Official Name | DR. KRISTA GREENE (OPTOMETRIST) |
| Authorized Official Telephone | 7038511975 |
| Authorized Official Credential | O.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | =========1 | VA | Hospitals |
| Street Address |
2051 CUSHING RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92106-6173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629052170 | Sung Wook Song | Family Medicine | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2005-11-29 |
| 1154810182 | Jermaine Sarmiento Zosa | Licensed Vocational Nurse | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2018-05-04 |
| 1699289462 | Teresita Salve Thompson | Licensed Vocational Nurse | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2017-11-30 |
| 1962916841 | Logan Timothy Peterschmidt | Military Health Care Provider | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2017-11-29 |
| 1134461569 | Camille Angela Robinson | Pediatrics | 2051 Cushing Rd, San Diego, CA 92106 | 2013-03-24 |
| 1205174752 | Celso Villanueva Cayanan | Military Health Care Provider | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2013-01-17 |
| 1477816213 | Nhu Quynh Do | Podiatrist | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2012-06-18 |
| 1093088205 | Adam Michael Shults | Physician Assistant | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2012-02-17 |
| 1093091605 | Marveluz Abad Verceles | Contractor | 2051 Cushing Rd, Naval Branch Health Clinic, Ntc, San Diego, CA 92106-6173 | 2011-10-26 |
| 1063792083 | Vanessa Wright | Nurse Practitioner | 2051 Cushing Rd, San Diego, CA 92106-6173 | 2011-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650300 | Ktre1, LLC | Assisted Living Facility | 3219 Canon St., San Diego, CA 92106 | 2019-07-03 |
| 1093289910 | Ahsha Smith | Occupational Therapist | 2026 Roosevelt Road, #105, San Diego, CA 92106 | 2019-01-14 |
| 1710429147 | William Anthony Rodriquez | Social Worker | 140 Sylvester Ln. Building 500, Sarp Naval Base Pt Loma, San Diego, CA 92106 | 2016-11-16 |
| 1992123285 | Mark Wilson | Occupational Therapist | 2820 Roosevelt Road Ste 105, San Diego, CA 92106 | 2014-04-03 |
| 1659704542 | Sarah Hanem Izaguirre | Counselor | 2305 Historic Decatur Rd Ste 100, San Diego, CA 92106 | 2013-08-14 |
| 1285945451 | Danielle R Michaelis Castillo | Marriage & Family Therapist | 2305 Historic Decatur Rd., Suite 100, San Diego, CA 92106 | 2010-06-23 |
| 1588991145 | Philip Charles Rumsey | Dentist | 1050 Rosecrans St., Suite J, San Diego, CA 92106 | 2009-11-03 |
| 1801024575 | David Michael Spera | Dentist | 1050 Rosecrans, #j, San Diego, CA 92106 | 2009-07-01 |
| 1548408834 | Dolores Sanchez Pullen | Counselor | 1360 Rosecrans Street, Suite I, San Diego, CA 92106 | 2009-01-26 |
| 1215188362 | Jodi Lynn Ceballos | Psychologist | 2186 Historic Decatur Rd Unit 40, San Diego, CA 92106 | 2008-10-07 |
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| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508477258 | Micol Paul Zabala | Military Hospital | 3675 Lofberg St, San Diego, CA 92124-3221 | 2020-08-14 |
| 1396156527 | Jonathan Kawi | Military Hospital | 8848 Corvus Pl, San Diego, CA 92126-1921 | 2014-05-09 |
| 1790056372 | U. S. Navy | Military Hospital | 3423 Guadalcanal Rd, Bldg 401 2nd Deck, San Diego, CA 92155-5000 | 2012-01-13 |
| 1841596301 | Va San Diego Healthcare System | Military Hospital | 4260 Porte De Palmas Unit 60, San Diego, CA 92122-5159 | 2011-02-01 |
| 1912168485 | John S Flores | Military Hospital | 9620 Capricorn Way, San Diego, CA 92126-5540 | 2008-06-18 |
| 1508036112 | Naval Medical Center San Diego | Military Hospital | 550 15th Street Unit 709, San Diego, CA 92101 | 2008-03-11 |
| 1922292382 | Gilberto Silvas Quesada II | Military Hospital | 3174 Caminito Quixote, San Diego, CA 92154-2252 | 2007-08-29 |
| 1427240225 | Veronica Mendoza | Military Hospital | 34800 Bob Wilson Dr Ste 100, San Diego, CA 92134-1100 | 2007-08-15 |
| 1275075236 | Department of Veterans Affairs | Military Hospital | 3350 La Jolla Village Dr, Social Work Service, San Diego, CA 92161-0002 | 2016-11-08 |
| 1003226309 | United States Navy | Military Hospital | Surface Warfare Medical Institute, 34101 Farenholt Avenue, Building 14, San Diego, CA 92134-5291 | 2014-05-07 |
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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.