MONTEREY ARMY HEALTH CLINIC (POMAHC) (NPI# 1902123243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902123243 |
| Entity Type | Organization |
| Organization Name | MONTEREY ARMY HEALTH CLINIC (POMAHC) |
| Other Organization Name | MONTEREY MD PHCY |
| Practice Address |
473 Cabrillo St A-102 Monterey CA 93944-3201 |
| Practice Telephone | 8312425382 |
| Practice Fax Number | 8312425809 |
| Mailing Telephone | 8312425382 |
| Mailing Fax Number | 8312425809 |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2016-02-08 |
| Authorized Official Name | HECTOR MORALES (CHIEF DHA PASS) |
| Authorized Official Telephone | 2105366650 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2124903 | 01 |
| Other Name | Type Code |
|---|---|
| MONTEREY MD PHCY | Doing Business As Name - Organization |
| Street Address |
473 CABRILLO ST A-102 |
| City | MONTEREY |
| State | CA |
| Zip Code | 93944-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609849983 | Kirsten Marie Anke | Registered Nurse | 473 Cabrillo St, Suite A1a, Monterey, CA 93944-3201 | 2006-02-08 |
| 1467990036 | Christopher Mendez | Radiologic Technologist | 473 Cabrillo St, Building 422, Monterey, CA 93944-3201 | 2017-02-03 |
| 1952681389 | Kathryn Elizabeth King | Pharmacist | 473 Cabrillo St, Bldg 422, Monterey, CA 93944-3201 | 2011-08-17 |
| 1093045668 | Marion Virgil Sanders Iv | Physician Assistant | 473 Cabrillo St, Army Health Clinic/517th Trg, Monterey, CA 93944-3201 | 2010-01-05 |
| 1043488232 | Cheryl Ann Hastings | Registered Nurse | 473 Cabrillo St, Monterey, CA 93944-3201 | 2008-02-11 |
| 1255537510 | Madigan Army Medical Ctr | Clinic/Center | 473 Cabrillo St, Bldg 422, Monterey, CA 93944-3201 | 2007-06-25 |
| 1316092968 | Daniel I Mirski | Emergency Medicine | 473 Cabrillo St, Monterey, CA 93944-3201 | 2007-01-24 |
| 1740390616 | Larry Everett Norton | Family Medicine | 473 Cabrillo St, Suite A1a, Monterey, CA 93944-3201 | 2006-08-30 |
| 1992716740 | Andrew Wodecki | Optometrist | 473 Cabrillo St, Suite A1a, Monterey, CA 93944-3201 | 2006-08-10 |
| 1801859756 | Flora Raymundo Dela Pena | Registered Nurse | 473 Cabrillo St, Monterey, CA 93944-3201 | 2006-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902237704 | Robert Sawyer | Family Medicine | Persidio of Monterey Army Health Clinic, 473 Cabrillo Street, Bldg 422, Monterey, CA 93944 | 2013-12-03 |
| 1841458452 | Matthew Scott Douglas | Physician Assistant | 473 Cabrillo Ave, Bldg 422, Presidio of Monterey Army Health Clinic, Monterey, CA 93944 | 2008-05-30 |
| 1205898871 | Madigan Army Medical Center | Social Worker | 437 Cabrillo St, Suite Aia -us Army Health Clinic, Presido of Monterey, CA 93944 | 2006-04-06 |
| 1982677175 | Eric D Morgan | Family Medicine | Presidio of Monterey Army Health Clinic, 473 Cabrillo St, Presidio of Monterey, CA 93944 | 2006-02-09 |
| 1083685358 | Andre Ming Wong | Dentist | 423 Cpl Evans Rd, Pom Dental Clinic Cmd, Monterey, CA 93944 | 2006-01-27 |
| 1912978248 | Russel Kyle Catterlin Jr. | Dentist | 423 Corporal Evans Road, Presidio of Monterey Dental Clinic, Monterey, CA 93944 | 2006-01-26 |
| 1477904191 | Teddie Matthews | Dental Hygienist | 423 Cpl Evans Rd, Monterey, CA 93944 | 2016-06-23 |
| 1467559781 | Kathleen Elizabeth Martin | Social Worker | 473 Cabrillo Street, Ste. 422, Presidio of Monterey Army Health Clinic, Monterey, CA 93944-0001 | 2006-09-20 |
| 1013909506 | Jon Richard Tabije | Psychologist | California Medical Detachment, Presidio of Monterey, Building 422, Monterey, CA 93944-0001 | 2005-08-19 |
| 1588853816 | Tracey Earnette Powell | Military Hospital | 473 Cabrillo St # B422, Monterey, CA 93944-3201 | 2007-10-23 |
| Find all providers in zip 93944 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| 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] |
| 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 |
| 1275948143 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Basilone Road, Bldg 520450, Camp Pendleton, CA 92055 | 2014-06-30 |
| 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 |
| 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 |
| 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 |
| 1841603248 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Branch Medical Clinic Naf, Bldg 23, El Centro, CA 92055 | 2014-06-04 |
| 1043622681 | David S Grant Medical Center | Military/U.S. Coast Guard Pharmacy | 461 Skymaster Cir Rm 149, Travis Afb, CA 94535-1909 | 2014-06-02 |
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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.