NAVAL MEDICAL CENTER SAN DIEGO (NPI# 1134569924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134569924 |
| Entity Type | Organization |
| Organization Name | NAVAL MEDICAL CENTER SAN DIEGO |
| Practice Address |
500 Sylvester Rd Bldg 500 San Diego CA 92111 |
| Mailing Address |
500 Sylvester Rd Bldg 500 San Diego CA 92106 |
| Practice Telephone | 6195530354 |
| Practice Fax Number | 6195538945 |
| Mailing Telephone | 6195530354 |
| Mailing Fax Number | 6195538945 |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |
| Authorized Official Name | MRS. FUERTE RHODA (MEDICAL STAFF SERVICES) |
| Authorized Official Telephone | 6195326684 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEPARTMENT OF DEFENCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | LCS 23698 | CA | Residential Treatment Facilities |
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
LCS 23698 | CA | Hospitals |
| 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 |
| 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 |
| 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 |
| Street Address |
500 SYLVESTER RD BLDG 500 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| 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 |
|---|---|---|---|---|
| 1649682154 | United States Navy | Military Hospital | Logistics Support Unit Onemedic, 2424 Redova Rd Bldg 156, San Diego, CA 92155-5401 | 2014-06-02 |
| 1578734729 | Va San Diego Healthcare System | Military Hospital | 3350 La Jolla Village Dr -mail Box 122, San Diego, CA 92161-0002 | 2008-03-17 |
| 1306901988 | Balboa Hospital | Military Hospital | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2006-12-26 |
| 1396732871 | Naval Medical Center San Diego | Military Hospital | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679824585 | United States Navy | Military Hospital | Bldg 14137, Camp Pendleton, CA 92055-5697 | 2012-10-02 |
| 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 |
| 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 |
| 1386604387 | Naval Hospital Camp Pendleton | Military Hospital | 200 Mercy Circle, Fin Mgmt Code 0814, Camp Pendleton, CA 92055-5191 | 2006-03-24 |
| Find all providers with the same taxonomy | ||||
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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.