NAVAL HOSPITAL CAMP PENDLETON (NPI# 1508069527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508069527 |
| Entity Type | Organization |
| Organization Name | NAVAL HOSPITAL CAMP PENDLETON |
| Other Organization Name | BMC YUMA |
| Practice Address |
Bldg 1175 Yuma AZ 85369 |
| Mailing Address |
Po Box 555191 Fin Mgmt Code 0814 Camp Pendleton CA 92055-5191 |
| Practice Telephone | 7607251621 |
| Practice Fax Number | 7607251661 |
| Mailing Telephone | 7607251621 |
| Mailing Fax Number | 7607251661 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2014-04-10 |
| Authorized Official Name | MR. JAMES H. PETERMAN (BUSINESS OFFICE SUPERVISOR) |
| Authorized Official Telephone | 7607251621 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HOSPITAL CAMP PENDLETON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PARENT FACILITY NPI | 1386604387 | 01 |
| Other Name | Type Code |
|---|---|
| BMC YUMA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952765125 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 135 Santa Margarita Rd, Camp Pendelton, CA 92055 | 2016-04-13 |
| 1821485152 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Hospital Camp Pendelton, 200 Mercy Circle, Camp Pendelton, CA 92055 | 2015-04-24 |
| 1942697685 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Marine Corps Air Station, Bldg 1175, Yuma, AZ 85369 | 2015-04-21 |
| 1790179455 | Naval Hospital Camp Pendleton | Clinic/Center | 41 Area Branch Medical Clinic, Bldg 414006, Camp Pendleton, CA 92055 | 2015-03-20 |
| 1275948143 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Basilone Road, Bldg 520450, Camp Pendleton, CA 92055 | 2014-06-30 |
| 1285048348 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 41 Area Las Flores Nelson, Bldg 414006, Camp Pendleton, CA 92055 | 2014-06-17 |
| 1205249042 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 13 Area Branch Medic, Bldg 13129 14th St, Camp Pendelton, CA 92055 | 2014-06-10 |
| 1972916740 | Naval Hospital Camp Pendleton | Pharmacy | 52 Area Branch Medical, 540450 Basilone Rd, Camp Pendelton, CA 92055 | 2014-06-09 |
| 1275946444 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Hq Regiment, 16th Street, Camp Pendelton, CA 92055 | 2014-06-05 |
| 1366855538 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Hq Reg 1 Mlg Ras, Bldg 14008, Camp Pendelton, CA 95008 | 2014-06-05 |
| Street Address |
BLDG 1175 |
| City | YUMA |
| State | AZ |
| Zip Code | 85369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235463779 | Diogenes Bermudo | Physician Assistant | Bldg 1175, Mcas, Yuma, AZ 85369-9116 | 2009-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770024986 | Aaron Craig Andrew Hassad | Military Health Care Provider | 2989 East Arow Street, Yuma, AZ 85369 | 2017-03-20 |
| 1942697685 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Marine Corps Air Station, Bldg 1175, Yuma, AZ 85369 | 2015-04-21 |
| 1679869119 | Stephen Spencer Austad | General Practice | Group Aid Station, Mcas Yuma, Yuma, AZ 85369 | 2011-06-23 |
| 1427222736 | Christopher Michael Davis | Family Medicine | 2917 East Hart Street, Marine Corps Air Station, Yuma, AZ 85369 | 2008-04-17 |
| 1942365549 | Michael B Prudhomme | General Practice | Group Aid Station Mcas Yuma, Yuma, AZ 85369 | 2006-12-26 |
| 1427148758 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Bhc Marine Corp Air Station, Bldg 1175, Yuma, AZ 85369 | 2006-10-16 |
| 1073515417 | Scott Charles Haney | Dentist | 1175 Hart St., Mcas Yuma Branch Dental Clinic, Yuma, AZ 85369 | 2005-08-15 |
| 1942202924 | Todd Lauby | Optometrist | Branch Medical Clinic Mcas Yuma, Bldg 1175, Yuma, AZ 85369 | 2005-08-10 |
| 1518323260 | Keith Roxo | Preventive Medicine | 406 Halstead Ave, Yuma, AZ 85369 | 2016-01-11 |
| 1699162339 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Bhc Marine Corp Air Station, Bldg 1175, Yuma, AZ 85369 | 2015-04-21 |
| Find all providers in zip 85369 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346455391 | Weed Army Community Hospital | Clinic/Center | 301 C St, Bldg 990, Yuma, AZ 85365-9498 | 2007-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306049895 | Raymond W. Bliss Army Health Center | Clinic/Center | 45005 Arizona Street, Fort Huachuca, AZ 85613 | 2007-06-11 |
| 1588635098 | Usa Meddac,rwbahc | Clinic/Center | 2240 Winrow Rd, Ft Huachuca, AZ 85613-5080 | 2006-02-01 |
| 1811960149 | Raymond W. Bliss Health Cemter | Clinic/Center | 2240 E. Winrow Ave., Meddac, Ft. Huachuca, AZ 85613 | 2006-02-08 |
| 1083685507 | Raymond W. Bliss Army Health Center | Clinic/Center | 2240 E. Winrow Ave, Usa Meddac, Rwbahc, Fort Huachuca, AZ 85613-7079 | 2006-02-01 |
| 1558332080 | Raymond W Bliss Army Health Center | Clinic/Center | 2240 Winrow Rd, Ft Huachuca, AZ 85613-5080 | 2006-02-01 |
Please comment or provide details below to improve the information on NAVAL HOSPITAL CAMP PENDLETON.
| 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.