UNITED STATES NAVY (NPI# 1679824585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679824585 |
| Entity Type | Organization |
| Organization Name | UNITED STATES NAVY |
| Practice Address |
Bldg 14137 Camp Pendleton CA 92055-5697 |
| Mailing Address |
Po Box 555697 Combat Logistics Battalion 11 Camp Pendleton CA 92055-5697 |
| Practice Telephone | 7607634028 |
| Mailing Telephone | 7607634028 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |
| Authorized Official Name | MS. CHELSEA LAUREN MCLEAN (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 4349602638 |
| Authorized Official Credential | PA-C, M.H.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
1096852 | PA | 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 |
| 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 |
| 1396047866 | United States Navy | Military Hospital | 5065 Sunburst St, Joshua Tree, CA 92252-1831 | 2010-12-03 |
| 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 |
BLDG 14137 |
| City | CAMP PENDLETON |
| State | CA |
| Zip Code | 92055-5697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730755 | Zaccary Griffin | Military Health Care Provider | Building 4101 Stuart Mesa Rd, Camp Pendleton, CA 92055 | 2020-11-02 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1548869571 | Joshua Watersjackson | Specialist/Technologist | 430406 Las Pulgas, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1235737164 | Tynesha Felice Calimquim | Dental Hygienist | Naval Hospital Camp Pendleton, Dental Department, 200 Mercy Circle, Oceanside, CA 92055 | 2020-10-13 |
| 1801494182 | Luis Alberto Necoechea | Military Health Care Provider | 1st Recon Bn Bas, Oceanside, CA 92055 | 2020-10-09 |
| 1689271603 | Lorena Santodomingo | Dental Hygienist | Bldg 210735 C Street, Camp Pendleton, CA 92055 | 2020-10-02 |
| 1720695984 | Douglas Thomas Duncan | Dental Assistant | 92055- 14th Strret, Oceanside, CA 92055 | 2020-09-30 |
| 1528675980 | Dora Louise Young | Dental Assistant | 92055 14th Street, Camp Pendleton, CA 92055 | 2020-09-29 |
| 1306453956 | Lynne Marie Reardon | Dental Hygienist | Bldg 310515, Camp Pendleton, CA 92055 | 2020-09-28 |
| Find all providers in zip 92055 | ||||
| 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 |
|---|---|---|---|---|
| 1386604387 | Naval Hospital Camp Pendleton | Military Hospital | 200 Mercy Circle, Fin Mgmt Code 0814, Camp Pendleton, CA 92055-5191 | 2006-03-24 |
| 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 |
| 1396047866 | United States Navy | Military Hospital | 5065 Sunburst St, Joshua Tree, CA 92252-1831 | 2010-12-03 |
| 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 | CAMP PENDLETON |
| Zip Code | 92055 |
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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.