NAVAL HOSPITAL TWENTYNINE PALMS (NPI# 1154733947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154733947 |
| Entity Type | Organization |
| Organization Name | NAVAL HOSPITAL TWENTYNINE PALMS |
| Practice Address |
1151 Sturgis Street Twentynine Palms CA 92278-8250 |
| Mailing Address |
Po Box 788250 Twentynine Palms CA 92278-8250 |
| Practice Telephone | 7608302135 |
| Practice Fax Number | 7608302131 |
| Mailing Telephone | 7608302135 |
| Mailing Fax Number | 7608302131 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2017-11-17 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HOSPITAL TWENTYNINE PALMS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2145933 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568567816 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | Mcmwtc, Bldg 3005 Nahbemwtc, Bridgeport, CA 93517-5010 | 2006-09-13 |
| 1306941653 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | 6th St Bldg 1552, Twentynine Palms, CA 92278 | 2006-09-13 |
| 1598868424 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | 1151 Sturgis St, Naval Hospital Phymcagcc, Twentynine Palms, CA 92278-8250 | 2006-09-06 |
| 1912018847 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | 1 Administration Cir, Branch Med Cln Phy Naval Weapon Ctr, Ridgecrest, CA 93555-6104 | 2006-08-31 |
| 1699726570 | Naval Hospital Twentynine Palms | Military Hospital | 1145 Sturgis Road, Twentynine Palms, CA 92278 | 2006-05-15 |
| 1164883369 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | 1 Administration Cir, Bldg 1403, Ridgecrest, CA 93555-6104 | 2016-03-15 |
| 1386031029 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | 1151 Sturgis Street, Twentynine Palms, CA 92278-8250 | 2015-04-21 |
| 1023405768 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | 1151 Sturgis St, Naval Hospital Phymcagcc, Twentynine Palms, CA 92278-8250 | 2015-04-21 |
| 1912394727 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | Mcmwtc, Bldg 3005 Nahbemwtc, Bridgeport, CA 93517-5010 | 2015-04-20 |
| 1326435124 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | 6th St Bldg 1552, Twentynine Palms, CA 92278 | 2015-04-20 |
| Street Address |
1151 STURGIS STREET |
| City | TWENTYNINE PALMS |
| State | CA |
| Zip Code | 92278-8250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386031029 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | 1151 Sturgis Street, Twentynine Palms, CA 92278-8250 | 2015-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143711 | Michelle Alexandra Engel | Student in an Organized Health Care Education/Training Program | Twentynine Palms Marine Base, 1591, Apo, AA 92278 | 2019-06-20 |
| 1427544659 | Matthew John Thacker | Dentist | 1591 Griffin Rd., Twentynine Palms, CA 92278 | 2018-07-11 |
| 1922541986 | Joshua Gumpert | Physician Assistant | 1560 6th St, 2nd Deck, Twentynine Palms, CA 92278 | 2016-11-23 |
| 1427441112 | Joshua Bellavia | Military Health Care Provider | Commanding Officer Naval Hospital Twentynine Palms, Attn: Joshua Bellavia Box 788250, Twentynine Palms, CA 92278 | 2015-03-05 |
| 1730583063 | Erric Leif Apeland | Military Health Care Provider | 1436 Third Street, Mcagcc, Twentynine Palms, CA 92278 | 2014-10-15 |
| 1609286137 | Jason Ulaner | Chiropractor | 1145 Sturgis St, Twentynine Palms, CA 92278 | 2014-05-06 |
| 1497184188 | Blake Lyman | Physician Assistant | 1552 6th Street, Adult Medical Care Clinic, Twentynine Palms, CA 92278 | 2013-11-04 |
| 1013267996 | Alonzo Jamelle Shields | Military Health Care Provider | Regimental Aid Station, 7th Marine Hq Ras, Twentynine Palms, CA 92278 | 2012-09-18 |
| 1184996134 | William John Becker | Physician Assistant | Mcagcc, Building 1538, Twnetynine Palms, CA 92278 | 2012-02-07 |
| 1962666776 | Michael D Vanmanen | Orthopaedic Surgery | Bldg 1145 Sturgis Rd, Twentynine Palms, CA 92278 | 2008-07-11 |
| Find all providers in zip 92278 | ||||
| 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 |
|---|---|---|---|---|
| 1306941653 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | 6th St Bldg 1552, Twentynine Palms, CA 92278 | 2006-09-13 |
| 1598868424 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | 1151 Sturgis St, Naval Hospital Phymcagcc, Twentynine Palms, CA 92278-8250 | 2006-09-06 |
| 1386031029 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | 1151 Sturgis Street, Twentynine Palms, CA 92278-8250 | 2015-04-21 |
| 1023405768 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | 1151 Sturgis St, Naval Hospital Phymcagcc, Twentynine Palms, CA 92278-8250 | 2015-04-21 |
| 1326435124 | Naval Hospital Twentynine Palms | Military/U.S. Coast Guard Pharmacy | 6th St Bldg 1552, Twentynine Palms, CA 92278 | 2015-04-20 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | TWENTYNINE PALMS |
| Zip Code | 92278 |
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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.