DR. JASON PATRICK PALMER (NPI# 1962430017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962430017 |
| Entity Type | Individual |
| Full Name | DR. JASON PATRICK PALMER |
| Credential | DO |
| Practice Address |
Naval Hospital, Camp Pendleton Family Practice Clinic Bldg H100 Attn:code 094 Camp Pendleton CA 92055-5191 |
| Mailing Address |
132 Croydon Ln El Cajon CA 92020-2208 |
| Practice Telephone | 7607251400 |
| Mailing Telephone | 6198552077 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 9605 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740418771 | Jason Anthony Palmer | Chiropractor | 1235 Indiana Ct, Suite 105, Redlands, CA 92374-4540 | 2009-06-29 |
| 1235190455 | Jason L. Palmer | Specialist/Technologist | 501 W Maryland St, Indianapolis, IN 46225-1041 | 2006-03-29 |
| 1588136717 | Jason R Palmer | Nurse Anesthetist, Certified Registered | 6606 Lbj Fwy Ste 200, Dallas, TX 75240-6524 | 2018-12-28 |
| 1396261418 | Jason A Palmer | Case Manager/Care Coordinator | 790 Roberts Dr, Monticello, AR 71655-5723 | 2017-08-21 |
| 1659616837 | Jason Richard Palmer | Physician Assistant | 4141 W Wilson Rd, Bldg 1600, Indian Head, MD 20640-5162 | 2012-11-29 |
| 1770806564 | Jason M Palmer | Pharmacist | 1100 Clemens Center Pkwy, Elmira, NY 14901-1563 | 2010-03-08 |
| 1356495600 | Jason C Palmer | Case Manager/Care Coordinator | 1530 Asheville Hwy, Spartanburg, SC 29303-2006 | 2007-01-23 |
| Street Address |
NAVAL HOSPITAL, CAMP PENDLETON FAMILY PRACTICE CLINIC BLDG H100 ATTN:CODE 094 |
| City | CAMP PENDLETON |
| State | CA |
| Zip Code | 92055-5191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912908096 | Thomas Michael Gudewicz | Pathology | Naval Hospital, Camp Pendleton, Bldg H100, Santa Margarita Road Attention: Code Cs-pa, Camp Pendleton, CA 92055 | 2005-08-10 |
| 1790013449 | Phillip Timmons | Dentist | Naval Hospital, Camp Pendleton, H100 Santa Margarita Rd, Attn: Code 094, Camp Pendleton, CA 92055-5191 | 2009-11-18 |
| 1376725580 | Christy L Mantanona Lee | Student in an Organized Health Care Education/Training Program | Naval Hospital, Camp Pendleton, Santa Margarita Road, Bldg H100, Attention: Code 094, Camp Pendleton, CA 92055-5191 | 2007-11-29 |
| 1770764953 | Jon M Montgomery | Student in an Organized Health Care Education/Training Program | Naval Hospital, Camp Pendleton, H100 Santa Margarita Road/ Attention: Code 094, Camp Pendleton, CA 92055-5191 | 2007-11-16 |
| 1013196427 | Scott Rexford Roney | Student in an Organized Health Care Education/Training Program | Naval Hospital, Camp Pendleton, Santa Margarita Road, Bldg H100 Code 094, Camp Pendleton, CA 92055-5191 | 2007-11-01 |
| 1760505853 | Cari Jo Knudson | Dietitian, Registered | Naval Hospital, Camp Pendleton, H100 Santa Margarita Road, Camp Pendleton, CA 92055-5191 | 2007-04-06 |
| 1932264652 | Alane Perrigo | Registered Nurse | Naval Hospital, Camp Pendleton, Attention Code 094 Bldg H100, Camp Pendleton, CA 92055-5191 | 2006-12-22 |
| 1497831531 | William Edward Schalck | Physician Assistant | Naval Hospital, Camp Pendleton, Santa Margarita Road, Bldg H100 Attn: Code 094, Camp Pendleton, CA 92055-5191 | 2006-10-31 |
| 1811009079 | Charles Derrick Farwell | General Practice | Naval Hospital, Camp Pendleton, Sant Margarita Rd, Bldg H100; Attention: Code 094, Camp Pendleton, CA 92055-5191 | 2006-08-31 |
| 1053322768 | Teresa Maria Klyszejko | Family Medicine | Naval Hospital, Camp Pendleton, Santa Margarita Road, Bldg H100 Attn: Code 094, Camp Pendleton, CA 92055-5191 | 2006-08-10 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538519244 | Shea Breenan Wickland | Family Medicine | 500 Mercy Circle, Naval Hospital Camp Pendleton, Box 555191, Camp Pendleton, CA 92055 | 2016-06-14 |
| 1235575648 | Caitlin Brooke Ford | Family Medicine | Bldg H200 Mercy Circle, Camp Pendleton, CA 92055-5191 | 2013-05-13 |
| 1194073940 | James Devin Owens | Family Medicine | Building H100 Santa Margarita Road, Camp Pendleton, CA 92055 | 2012-08-28 |
| 1760443873 | Sandra Lee Kimmer | Family Medicine | Bldg H 100 Santa Margarita Road, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055-5191 | 2006-03-29 |
| 1023083615 | Elizabeth Thomas Reeves | Family Medicine | 21 Area Marine Centered Med Home - Building 210735, Intersection of C St. and 11th Street, Area 21, Camp Pendleton, CA 92055 | 2006-02-17 |
| 1558349241 | Timothy John Phillips | Family Medicine | Attention: Code 094 Bldg H100, Naval Hospital, Camp Pendleton, Camp Pendleton, CA 92055-5191 | 2006-01-04 |
| 1164408217 | Joseph F Penta | Family Medicine | Hqco 1st Mar Attn Medical, Box 555402, Camp Pendleton, CA 92055-5402 | 2005-12-21 |
| 1770567679 | Tricia Elaine Vanwagner | Family Medicine | Naval Hospital Camp Pendleton Family Medicine Clinic, Box 555191, Camp Pendleton, CA 92055 | 2005-12-04 |
| 1528059441 | Mark Joseph Flynn | Family Medicine | Building H-100, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055-5191 | 2005-10-31 |
| 1710975446 | Darin Matthew Rolfe | Family Medicine | 1st Marine Division, 1st Marine Regiment, 1st Battalion, Battalion Aid Station, Camp Pendleton, CA 92055 | 2005-10-06 |
| Find all providers in CAMP PENDLETON | ||||
| 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.