UNITED STATES NAVY (NPI# 1396047866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396047866 |
Entity Type | Organization |
Organization Name | UNITED STATES NAVY |
Practice Address |
5065 Sunburst St Joshua Tree CA 92252-1831 |
Practice Telephone | 2083013169 |
Mailing Telephone | 2083013169 |
Enumeration Date | 2010-12-03 |
Last Update Date | 2010-12-03 |
Authorized Official Name | MS. KARA MICHELE WORTLEY (PHYSICIAN ASSISTANT) |
Authorized Official Telephone | 2083013169 |
Authorized Official Credential | P.A. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
Hospitals |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568905511 | United States Navy | Military Health Care Provider | 1st Mardiv 7th Marine Reg, Navpers Office Bldg 1525, 29 Palms, CA 92278-8150 | 2016-11-23 |
1235508557 | United States Navy | Clinic/Center | Psc Box 20098, Hq and Service Co, 1st Bn, 6th Marine Regt, 2d Mardiv, Camp Lejeune, NC 28542-0098 | 2015-09-16 |
1588066294 | United States Navy | Military Health Care Provider | Unit 38445, Fpo, AP 96373-8445 | 2014-09-24 |
1649682154 | United States Navy | Military Hospital | Logistics Support Unit Onemedic, 2424 Redova Rd Bldg 156, San Diego, CA 92155-5401 | 2014-06-02 |
1679824585 | United States Navy | Military Hospital | Bldg 14137, Camp Pendleton, CA 92055-5697 | 2012-10-02 |
1295009728 | United States Navy | Military Health Care Provider | 667 Orangewood Dr, Virginia Beach, VA 23453-2124 | 2012-03-01 |
1427328319 | United States Navy | Military Hospital | 2005 Knight Ln., Bldg H Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2012-01-09 |
1285916072 | United States Navy | Military Health Care Provider | 318 S French Ct, Virginia Beach, VA 23454-4225 | 2011-09-16 |
1881909380 | United States Navy | Military Hospital | 01 Boone Rd, Bremerton, WA 98382 | 2010-08-10 |
1851605539 | United States Navy | Military Hospital | Psc 475 Box 1358, Fpo, AP 96350-9998 | 2010-08-04 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | UNITED STATES NAVY MEMORIAL FOUNDATION | 701 Pennsylvania Ave Nw Ste 123, Washington, DC 20004-2688 |
Street Address |
5065 SUNBURST ST |
City | JOSHUA TREE |
State | CA |
Zip Code | 92252-1831 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609405992 | Micheline Helou | Nurse Practitioner | 63532 Twentynine Palms Highway, Joshua Tree, CA 92252 | 2020-04-07 |
1821558164 | Lisa Brown | Nurse Practitioner | 63532 29 Palms Hwy., Suite C, Joshua Tree, CA 92252 | 2019-03-22 |
1861990053 | Candice Amber Packard | Marriage & Family Therapist | 60805 29 Palms Hwy, Joshua Tree, CA 92252 | 2018-01-23 |
1194195529 | Jacob Edward Sanchez | Counselor | 60805 Twentynine Palms Hwy., Joshua Tree, CA 92252 | 2015-09-28 |
1023404357 | American Health Services LLC | Substance Abuse Rehabilitation Facility | 65675 Sullivan Rd., Joshua Tree, CA 92252 | 2015-04-14 |
1699940486 | Lee, Wee &baek. Dds. Inc | Clinic/Center | 61325 29palms Hwy.ste.a, Joshua Tree, CA 92252 | 2008-04-23 |
1447420690 | County of San Bernardino | Public Health or Welfare | 63532 29 Palms Highway, Suite D, Joshua Tree, CA 92252 | 2008-03-04 |
1861671679 | Lisa L Surace | Marriage & Family Therapist | 63532 Twentynine Palms Hwy, Suite C, Joshua Tree, CA 92252 | 2007-10-29 |
1821285271 | Morongo Basin Mental Health Services Ass., Inc | Substance Abuse Rehabilitation Facility | 65675 Sullivan Rd, Joshua Tree, CA 92252 | 2007-10-01 |
1295872067 | Angel View Crippled Childrens Foundation Inc | Intermediate Care Facility, Mentally Retarded | 60950 Sunburst, Joshua Tree, CA 92252 | 2007-01-31 |
Find all providers in zip 92252 |
Taxonomy Code | 2865M2000X |
Grouping | Hospitals |
Classification | Military Hospital |
Specialization | Military General Acute Care Hospital |
A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
Notes: [1/1/2005: title modified, definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649682154 | United States Navy | Military Hospital | Logistics Support Unit Onemedic, 2424 Redova Rd Bldg 156, San Diego, CA 92155-5401 | 2014-06-02 |
1679824585 | United States Navy | Military Hospital | Bldg 14137, Camp Pendleton, CA 92055-5697 | 2012-10-02 |
1316112311 | Michelle Bautista | Military Hospital | 8707 Troy St Apt 105, Spring Valley, CA 91977-2503 | 2008-04-29 |
1578734729 | Va San Diego Healthcare System | Military Hospital | 3350 La Jolla Village Dr -mail Box 122, San Diego, CA 92161-0002 | 2008-03-17 |
1760651772 | Lance Mandernack | Military Hospital | 3371 Glendale Blvd, #186, Los Angeles, CA 90039-1825 | 2008-02-22 |
1306919501 | Weed Army Community Hospital | Military Hospital | Inner Loop, Fort Irwin, CA 92310-5109 | 2006-11-16 |
1699726570 | Naval Hospital Twentynine Palms | Military Hospital | 1145 Sturgis Road, Twentynine Palms, CA 92278 | 2006-05-15 |
1417304445 | V.a. Long Beach Medical Center | Military Hospital | 5901 E 7th St, Long Beach, CA 90822-5201 | 2016-05-19 |
1023377868 | Va Hospital | Military Hospital | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2012-05-14 |
1013187566 | Uscg Airsta Sacramento | Military Hospital | 5342 Dudley Blvd, Mcclellan, CA 95652-1012 | 2008-03-11 |
Find all providers with the same taxonomy |
City | JOSHUA TREE |
Zip Code | 92252 |
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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.