NAVAL MEDICAL CENTER SAN DIEGO


Address: 25000 Guadal Canal Rd, Bldg 256, San Diego, CA 92140
Phone: 6195244057

NAVAL MEDICAL CENTER SAN DIEGO (NPI# 1730288788) 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) 1730288788
Entity Type Organization
Organization Name NAVAL MEDICAL CENTER SAN DIEGO
Practice Address 25000 Guadal Canal Rd
Bldg 256
San Diego
CA 92140
Practice Telephone 6195244057
Practice Fax Number 6195325898
Enumeration Date 2006-09-22
Last Update Date 2019-04-04
Authorized Official Name MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
Authorized Official Telephone 2404013643
Is Organization Subpart Y
Parent Organization Name NAVAL MEDICAL CENTER SAN DIEGO

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332000000X Military/U.S. Coast Guard Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER-COMMERCIAL NUMBER 0528337 01

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 25000 GUADAL CANAL RD
BLDG 256
City SAN DIEGO
State CA
Zip Code 92140

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528549177 Shelly K Gareiss Dentist Mcrd San Diego, 3800 Chosin Avenue, San Diego, CA 92140 2018-08-22
1700185303 Rachel Ann Holloway Physician Assistant 35000 Guadalcanal Street, Bhc Mcrd, San Diego, CA 92140 2011-03-22
1215158027 Susan Rohbock Physician Assistant Navy Medical Clinic - Marine Corps Recruit Depot, 35000 Guadalcanal St., San Diego, CA 92140 2007-05-01
1700927514 Anthony Joseph Marciante Dentist Branch Dental Clinic Mcrd, 43000 Midway Ave, Bldg 595, San Diego, CA 92140 2007-02-12
1861539488 Justin Oderkirk Emergency Medical Technician, Basic 1650 Henderson Ave, Bldg 310, San Diego, CA 92140 2007-01-31
1437240777 Karima Ayesh Dentist 34000 Midway Ave, Bldg 595, Apo, AA 92140 2006-09-28
1306800644 Reynaldo L Reyes Jr. Military Health Care Provider 35000 Guadalcanal St, Branch Medical Clinic Marine Corps Recruit Depot, San Diego, CA 92140 2006-04-13
1932161197 Reynaldo Aldover Guadez Military Health Care Provider Branch Medical Clinic Mcrd, 35000 Guadalcanal Street, San Diego, CA 92140 2006-04-04
1730151648 Richard William Skinner General Practice Branch Clinic Marine Corps Recruit Depot, 35000 Guadalcanal Ave, San Diego, CA 92140 2006-02-03
1780938209 Naval Medical Center San Diego Military Hospital 35000 Guadalcanal Ave, Bldg 596, San Diego, CA 92140 2012-11-06
Find all providers in zip 92140

Taxonomy Information

Taxonomy Code 332000000X
Grouping Suppliers
Classification Military/U.S. Coast Guard Pharmacy

Taxonomy Definition

A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
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
1821197872 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy Bldg 601, San Diego, CA 92135 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
1912006966 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy 19875 Mitscher Way, Bldg 2495, San Diego, CA 92145-5103 2006-09-22
1003915059 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy 32 Nd St Navy Exchange, Bldg 3187, San Diego, CA 92136-0001 2006-09-22
1750480794 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy Business Office Code Rbe, 34520 Bob Wilson Dr Ste 20, San Diego, CA 92134-2020 2006-09-22
1962501924 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy Naval Medical Centerpharmacy Dept, 34800 Bob Wilson Drive, San Diego, CA 92134-0001 2006-09-22
1366856437 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy 34800 Bob Wilson Dr Ste 1, San Diego, CA 92134-5000 2014-06-17
1063766459 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy 11770 Bernardo Plaza Ct, Suite 250, San Diego, CA 92128-2422 2012-11-07
Find all providers in SAN DIEGO

Competitor

Search similar providers

City SAN DIEGO
Zip Code 92140

Improve Information

Please comment or provide details below to improve the information on NAVAL MEDICAL CENTER SAN DIEGO.

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.

Trending Searches