NAVAL MEDICAL CENTER SAN DIEGO


Address: 34800 Bob Wilson Dr, Building 1, 2 - West, Infectious Diseases Clinic, San Diego, CA 92134-1098
Phone: 6195327475

NAVAL MEDICAL CENTER SAN DIEGO (NPI# 1083750087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083750087
Entity Type Organization
Organization Name NAVAL MEDICAL CENTER SAN DIEGO
Practice Address 34800 Bob Wilson Dr
Building 1, 2 - West, Infectious Diseases Clinic
San Diego
CA 92134-1098
Practice Telephone 6195327475
Mailing Telephone 6195327475
Enumeration Date 2007-01-29
Last Update Date 2008-08-13
Authorized Official Name DR. NIMFA COCOS TENEZA-MORA (INFECTIOUS DISEASE PHYSICIAN)
Authorized Official Telephone 6195327475
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 286500000X Military Hospital 0101058098 VA Hospitals

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1700245099 Naval Medical Center San Diego Pharmacy Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 2016-02-16
1265846323 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy 34800 Bob Wilson Dr Ste 3, San Diego, CA 92134-1003 2014-06-17
1134569924 Naval Medical Center San Diego Substance Abuse Rehabilitation Facility 500 Sylvester Rd, Bldg 500, San Diego, CA 92111 2013-06-26
1508036112 Naval Medical Center San Diego Military Hospital 550 15th Street Unit 709, San Diego, CA 92101 2008-03-11
1982802179 Naval Medical Center San Diego Clinic/Center 120 Town Center Pkwy, Santee, CA 92071-5801 2007-07-10
1205998101 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy 34800 Bob Wilson Dr Ste 113, San Diego, CA 92134-1113 2006-12-15
1407927494 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy 110 Bldg B Town Center Pkwy, Santee, CA 92134-1098 2006-11-13
1821197872 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy Bldg 601, San Diego, CA 92135 2006-09-22
1720187776 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy 523 S 8th St, Bldg 523, El Centro, CA 92243 2006-09-22
1639278682 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy Bouganville Rd, Bldg 506, San Diego, CA 92155-0001 2006-09-22

Office Location

Street Address 34800 BOB WILSON DR
BUILDING 1, 2 - WEST, INFECTIOUS DISEASES CLINIC
City SAN DIEGO
State CA
Zip Code 92134-1098

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245235134 Willie S Chao Dentist 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2005-06-16
1023625571 Samantha Savite Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-09-29
1588270326 Angelina Yvette Harris Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-09-17
1275149296 Alexa Werner Physical Therapist 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-09-16
1376157164 Toure Marlow Hinton Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-31
1316550106 John K Housinga Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-31
1073126249 Alfredo Carrillo Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-27
1326651647 Daniel Adan Denge Registered Nurse 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-26
1275146664 Zachariah Jacob Charles Boydsnee Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-26
1245843820 Nikole Lanchares Dentist 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477178457 Joseph Hunter Sampson Military Health Care Provider 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1255870333 Dosh Page Physician Assistant Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 2017-02-22
1417328063 Noem Clay Gallego Military Health Care Provider 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 2015-10-08
1972999183 Justin Paul Lachney Military Health Care Provider 34101 Farenholt Avenue, San Diego, CA 92134 2015-04-14
1174963532 Ryan Anders Crane Otolaryngology Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 2013-07-01
1447591268 Amy B. Cornell Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 2013-03-04
1841562956 Christopher Patrick Androski Jr. Emergency Medical Technician, Basic Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 2012-02-04
1164717740 Jason James Weiner Internal Medicine Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 2011-06-13
1225320237 Kimberly Ann Thompson Student in an Organized Health Care Education/Training Program Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 2011-05-09
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Taxonomy Information

Taxonomy Code 286500000X
Grouping Hospitals
Classification Military Hospital

Taxonomy Definition

A health care facility operated by the Department of Defense.

Providers in the same taxonomy and city

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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Competitor

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City SAN DIEGO
Zip Code 92134

Improve Information

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Dataset Information

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.

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