NAVAL MEDICAL CENTER SAN DIEGO


Address: 2051 Cushing Rd, San Diego, CA 92106-6173
Phone: 6195240113

NAVAL MEDICAL CENTER SAN DIEGO (NPI# 1366677445) 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) 1366677445
Entity Type Organization
Organization Name NAVAL MEDICAL CENTER SAN DIEGO
Other Organization Name US NAVY
Practice Address 2051 Cushing Rd
San Diego
CA 92106-6173
Practice Telephone 6195240113
Practice Fax Number 6195246318
Mailing Telephone 6195240113
Enumeration Date 2009-05-19
Last Update Date 2009-05-19
Authorized Official Name MR. THOMAS BALCOM (SENIOR MEDICAL OFFICER)
Authorized Official Telephone 6195240113
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 286500000X Military Hospital 1710I1002X CA Hospitals

Other Provider/Organization Names

Other Name Type Code
US NAVY Other Name - Individual/Organization

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 2051 CUSHING RD
City SAN DIEGO
State CA
Zip Code 92106-6173

Providers in the same location

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
1023356110 Navy Medical Center San Diego Military Hospital 2051 Cushing Rd, San Diego, CA 92106-6173 2013-01-23
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
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Providers in the same zip code

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 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 92106

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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