NAVCON BRIG MIRAMAR (NPI# 1497951883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497951883 |
| Entity Type | Organization |
| Organization Name | NAVCON BRIG MIRAMAR |
| Practice Address |
46141 Miramar Way Navcon Brig (clinical Services) San Diego CA 92145-5401 |
| Mailing Address |
4296 Shields Pl San Diego CA 92124-3318 |
| Practice Telephone | 8585777144 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2008-08-13 |
| Authorized Official Name | DAVID V. HINDMAN (CHIEF BEHAVIORAL HEALTH SERVICES) |
| Authorized Official Telephone | 8585777144 |
| Authorized Official Credential | CMSW, MAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
46141 MIRAMAR WAY NAVCON BRIG (CLINICAL SERVICES) |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92145-5401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265635759 | Michael Guerriere | Social Worker | 46141 Miramar Way, Clinical Services Dept, San Diego, CA 92145-5401 | 2007-06-11 |
| 1134500549 | Wei Liu | Dentist | 46141 Miramar Way, San Diego, CA 92145-5401 | 2015-06-11 |
| 1922320050 | Jeffrey Frank Thompson | Social Worker | 46141 Miramar Way, Naval Consolidated Brig, Miramar, San Diego, CA 92145-2135 | 2010-02-16 |
| 1871769885 | Brian Klassen | Psychologist | 46141 Miramar Way, Suite 1, San Diego, CA 92145-2135 | 2008-04-30 |
| 1619172319 | Deborah Lee Bell | Social Worker | 46141 Miramar Way, Suite 1, Navconbrig Miramar, San Diego, CA 92145-5401 | 2007-06-20 |
| 1275736704 | Tina Marie Marin | Psychologist | 46141 Miramar Way, Suite 1, San Diego, CA 92145-5401 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245754241 | Joy Lee Kim | Dentist | Mcas Miramar Dental Clinic, Fpo, AA 92145 | 2017-08-01 |
| 1558500090 | Sean Patrick Overlie | Military Health Care Provider | 2496 Bauer Rd., Bmc Mcas Miramar, San Diego, CA 92145 | 2009-02-06 |
| 1053584540 | Craig Charles Rosario | Military Health Care Provider | Mcas Bmc Miramar, Bldg 2496, Bauer Rd., San Diego, CA 92145 | 2008-04-07 |
| 1710026059 | Breanne Williams Reid | Dentist | 19871 Mitcher Way, San Diego, CA 92145 | 2007-02-05 |
| 1821143165 | Enrico L Sarmiento | Physician Assistant | Bldg 2496 Bauer Rd, Bmc Miramar, San Diego, CA 92145 | 2007-01-25 |
| 1275684276 | Alexander Byron Galifianakis | Preventive Medicine | Mcas Miramar, Hmh-466, San Diego, CA 92145 | 2007-01-16 |
| 1407939408 | Frank J Bogni IIi | General Practice | Branch Medical Clinic Mcas Miramar, Apo, AA 92145 | 2006-10-23 |
| 1578531687 | Amber Nicole Floyd | Military Health Care Provider | Branch Medical Clinic Miramar, 2496 Mitchner Wy, San Diego, CA 92145 | 2006-03-14 |
| 1811964844 | Armando Gonzalez | Military Health Care Provider | Macg-38 Medical, San Diego, CA 92145 | 2006-03-08 |
| 1093787244 | Denise Elizabeth Coyle | Family Medicine | Miramar Family Practice, Mcas Miramar, San Diego, CA 92145 | 2006-02-02 |
| Find all providers in zip 92145 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1598155962 | Uc San Diego Foundation | Clinic/Center | 1561 Thomas Ave, San Diego, CA 92109-4346 | 2015-01-23 |
| 1982006573 | Caos, A Medical Corporation | Clinic/Center | 2655 Camino Del Rio, Suite #330, San Diego, CA 92108-1633 | 2014-09-25 |
| 1578965471 | Uc San Diego Foundation | Clinic/Center | 1420 3rd Ave, San Diego, CA 92101-3103 | 2014-09-23 |
| 1942616255 | Malchow Chiropractic Inc | Clinic/Center | 12145 Alta Carmel Ct, San Diego, CA 92128-3842 | 2014-07-08 |
| 1093157604 | Fluvaccine.org | Clinic/Center | 970 Turquoise St, Suite B, San Diego, CA 92109-1141 | 2013-07-24 |
| 1679760714 | Morteza Mirkarimi | Clinic/Center | 3058 Clairemont Dr, San Diego, CA 92117-6830 | 2007-10-03 |
| 1316978620 | John J. Doria | Clinic/Center | 3003 4th Ave, San Diego, CA 92103-5801 | 2006-07-05 |
| 1073177739 | La Maestra Family Clinic, Inc. | Clinic/Center | 4060 Fairmount Ave, San Diego, CA 92105-1608 | 2019-04-29 |
| Find all providers in SAN DIEGO | ||||
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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.