BRANCH MEDICAL CLINIC NALF SAN CLEMENTE ISLAND (NPI# 1801288634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801288634 |
| Entity Type | Organization |
| Organization Name | BRANCH MEDICAL CLINIC NALF SAN CLEMENTE ISLAND |
| Practice Address |
Wilson Cove Bldg 60126 San Clemente CA 92135 |
| Practice Telephone | 6195249356 |
| Mailing Telephone | 6195249356 |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2017-11-24 |
| Authorized Official Name | WILLIAM M CONDON (BUMED UBO) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL MEDICAL CENTER SAN DIEGO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| Street Address |
WILSON COVE BLDG 60126 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053872275 | Erika Hernandez | Dental Hygienist | 600 Mc Cain Blvd, San Diego, CA 92135 | 2019-03-29 |
| 1144723289 | Andrew T Bagby | General Practice | 601 Mc Cain Blvd, San Diego, CA 92135 | 2018-03-15 |
| 1780124792 | Larry Alenbaugh Optometry | Optometrist | Nas North Island Building 2017, San Diego, CA 92135 | 2017-02-24 |
| 1215389507 | Dana Gampel | Optometrist | Nas North Island Nex Building 2017, San Diego, CA 92135 | 2016-07-11 |
| 1902213598 | Armin Villanueva | Dental Hygienist | Mcain Blvd Building 600, San Diego, CA 92135 | 2014-07-16 |
| 1114366226 | Jennifer J Miller | Dental Hygienist | Bldg 600 Mccain Blvd, Branch Dental Clinic North Island, San Diego, CA 92135 | 2013-06-21 |
| 1902159916 | Alexis Guadalupe Chavez | Military Health Care Provider | 601 Mccain Blvd Bldg 601, Naval Air Station North Island, Coronado, CA 92135 | 2012-10-16 |
| 1295040426 | Linda Anona Farmer | Military Health Care Provider | Bldg 601 Mccain Blvd Bmc Naval Base Coronado, San Diego, CA 92135 | 2010-08-12 |
| 1508006149 | Kathy Rebecca Sullivan | Military Health Care Provider | Msron Five Medical Department, Nolf Ib Building 169, San Diego, CA 92135 | 2009-02-23 |
| 1659449221 | Edmond Chan Reyes | Military Health Care Provider | Naval Air Station North Island, Bldg 290, Sandiego, CA 92135 | 2006-12-01 |
| Find all providers in zip 92135 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538727276 | Uscg Clinic San Francisco | Clinic/Center | 1020 N Access Rd, San Francisco, CA 94128-3120 | 2019-05-29 |
| 1154715803 | Branch Medical Clinic Area 33 | Clinic/Center | 33 Area Branch Medical Clinic, Bldg 330305, Camp Pendleton, CA 92055 | 2015-03-20 |
| 1790179455 | Naval Hospital Camp Pendleton | Clinic/Center | 41 Area Branch Medical Clinic, Bldg 414006, Camp Pendleton, CA 92055 | 2015-03-20 |
| 1245624907 | Branch Medical Clinic Area 43 | Clinic/Center | 43 Area Branch Medical Clinic, Bldg 434057, Camp Pendleton, CA 92055 | 2015-03-20 |
| 1154715811 | Branch Medical Clinic Area 53 | Clinic/Center | 53 Area Branch Medical Clinic, Bldg 533020, Camp Pendleton, CA 92055 | 2015-03-20 |
| 1023400256 | Branch Medical Clinic Mcas Miramar | Clinic/Center | Bauer Rd, Bldg 2496, San Diego, CA 92145-0001 | 2015-02-25 |
| 1083028989 | Weed Army Community Hospital | Clinic/Center | Bldg 189 Ave B, Fort Irwin, CA 92310 | 2014-06-18 |
| 1891109799 | Weed Army Community Hospital | Clinic/Center | Ave B Bldg R190, Warrior Care Center, Fort Irwin, CA 92310 | 2014-06-18 |
| 1871832394 | Branch Medical Clinic Area 62 | Clinic/Center | Bldg 620306 8th Street, Camp Pendleton, CA 92055 | 2013-02-04 |
| 1780968321 | Weed Army Community Hospital | Clinic/Center | Building 295 Avenue B, Fort Irwin, CA 92310 | 2011-09-30 |
| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92135 |
Please comment or provide details below to improve the information on BRANCH MEDICAL CLINIC NALF SAN CLEMENTE ISLAND.
| 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.