US COAST GUARD


Address: 2051 Cushing Road, Us Coast Guard, San Diego, CA 92106
Phone: 6195245204

US COAST GUARD (NPI# 1538480298) 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) 1538480298
Entity Type Organization
Organization Name US COAST GUARD
Practice Address 2051 Cushing Road
Us Coast Guard
San Diego
CA 92106
Practice Telephone 6195245204
Practice Fax Number 6195244459
Mailing Telephone 6195245204
Mailing Fax Number 6195244459
Enumeration Date 2010-06-17
Last Update Date 2010-06-17
Authorized Official Name MRS. NAOMI DENNIS (HSC/ CLINIC ADMINISTRATOR)
Authorized Official Telephone 6195245204
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1100X Clinic/Center
Specialization: Military/U.S. Coast Guard Outpatient
0101056076 VA Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982084943 Us Coast Guard Pharmacy 2703 Martin Luther King Jr Ave Se, Washington, DC 20593-0007 2015-06-04
1104153279 Us Coast Guard Clinic/Center Uscgc Morgenthau, Fpo, AP 96672-3916 2009-11-11
1134302805 Us Coast Guard Military Hospital Uscg Hq Comdt (cg-1122),2100 Second St Sw, Washington, DC 20593-0001 2007-12-17
1609910603 Us Coast Guard Clinic/Center 4807 King John Way, Upper Marlboro, MD 20772-5983 2007-02-16
1306921234 Us Coast Guard Clinic/Center 1 Eagle Road, Coast Guard Island, Alameda, CA 94501 2006-10-26
1144254517 Us Coast Guard Public Health or Welfare 1 Ferry Road, Galveston, TX 77553 2006-07-10
1033541156 Us Coast Guard Clinic/Center 8501 Tanner Williams Rd, Mobile, AL 36608-8322 2013-07-31
1245541812 Us Coast Guard Point of Service 5 Calle La Puntilla, San Juan, PR 00901-1818 2010-06-29
1811228422 Us Coast Guard Clinic/Center 2401 Hawkins Point Rd, Baltimore, MD 21226-1797 2010-01-21
1093835977 Us Coast Guard Clinic/Center 5201 Lee Rd, Buzzards Bay, MA 02542-1313 2007-04-02

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities US COAST GUARD ACADEMY EXCHANGE FUND 4283 Llewellyn Ave, Norfolk, VA 23504-1137
System for Award Management (SAM) Entities US COAST GUARD ACADEMY GRANTS OFFICE 15 Mohegan Ave, New London, CT 06320-8100
System for Award Management (SAM) Entities US COAST GUARD AIR STATION BORINQUEN MORALE FUND 260 Guard Rd, Aguadilla, PR 00604

Office Location

Street Address 2051 CUSHING ROAD
US COAST GUARD
City SAN DIEGO
State CA
Zip Code 92106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730386327 Branch Medical Clinic Ntc San Diego Clinic/Center 2051 Cushing Road, Bldg 624, San Diego, CA 92106-0000 2007-06-28

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 261QM1100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Military/U.S. Coast Guard Outpatient

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023400256 Branch Medical Clinic Mcas Miramar Clinic/Center Bauer Rd, Bldg 2496, San Diego, CA 92145-0001 2015-02-25
1003006628 Branch Medical Clinic Naval Station San Diego Clinic/Center 2450 Craven Steet, San Diego, CA 92136-5599 2007-07-30
1730386327 Branch Medical Clinic Ntc San Diego Clinic/Center 2051 Cushing Road, Bldg 624, San Diego, CA 92106-0000 2007-06-28
1104962448 U.S. Coast Guard Clinic/Center 2734 Belknap Way, San Diego, CA 92106-6401 2007-01-30
1932502788 Branch Medical Clinic Rancho Bernardo Clinic/Center 11770 Bernardo Plaza Ct, San Diego, CA 92128-2422 2014-10-07
1649446857 Branch Medical Clinic Mcrd Clinic/Center 35000 Guadalcanal St, Branch Medical Clinic Mcrd, San Diego, CA 92140 2008-05-07
1225220270 Branch Medical Clinic Coronado Clinic/Center 601 Mccain Blvd, Naval Base Coronado, San Diego, CA 92135-7046 2007-08-14
1679771133 Branch Medical Clinic North Island Clinic/Center 34520 Bob Wilson Dr, San Diego, CA 92134-2098 2007-07-06
1922206853 Tricare Outpatient Clinic Clairemont Clinic/Center 8808 Balboa Ave, San Diego, CA 92123-1592 2007-07-03
1588728497 Naval Medical Center San Diego Clinic/Center Naval Medical Center San Diego, 34800 Bob Wilson Dr., San Diego, CA 92134-5000 2006-12-22
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Competitor

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City SAN DIEGO
Zip Code 92106

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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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