DR. CHARLES DERRICK FARWELL


Address: Naval Hospital, Camp Pendleton, Sant Margarita Rd, Bldg H100; Attention: Code 094, Camp Pendleton, CA 92055-5191
Phone: 7607258882

DR. CHARLES DERRICK FARWELL (NPI# 1811009079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811009079
Entity Type Individual
Full Name DR. CHARLES DERRICK FARWELL
Credential M.D.
Practice Address Naval Hospital, Camp Pendleton
Sant Margarita Rd, Bldg H100; Attention: Code 094
Camp Pendleton
CA 92055-5191
Mailing Address 3376 Lockwood Dr
San Diego
CA 92123-2618
Practice Telephone 7607258882
Practice Fax Number 7607251267
Enumeration Date 2006-08-31
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 9803 ND Allopathic & Osteopathic Physicians

Office Location

Street Address NAVAL HOSPITAL, CAMP PENDLETON
SANT MARGARITA RD, BLDG H100; ATTENTION: CODE 094
City CAMP PENDLETON
State CA
Zip Code 92055-5191

Providers in the same location

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
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
1962430017 Jason Patrick Palmer Family Medicine Naval Hospital, Camp Pendleton, Family Practice Clinic Bldg H100 Attn:code 094, Camp Pendleton, CA 92055-5191 2006-06-29
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124292701 Mona Marcella Colianno General Practice 1st Mlg Clr 1, Camp Pendleton, CA 92055 2008-04-15
1902083140 Lukasz Swistun General Practice I Mef Hsse, Attn Mssp, Bldg 210721 C St, Camp Pendleton, CA 92055 2008-01-30
1396883633 Donald William Hurst Jr. General Practice Mag 39, Camp Pendleton, CA 92055-5750 2007-02-01
1689721136 Robert Nathan Clapp General Practice 328 Angeles St, Camp Pendleton, CA 92054-8255 2007-01-05
1750344305 Huy Tan Tran General Practice Bldg 100 Margarita Road, Naval Hospital Camp Pendleton, Camp Pendleton, CA 92055-5191 2006-04-06
1538152343 Gregory P Montoya General Practice 22 Area Group Aid Station, Bldg 22190, Camp Pendleton, CA 92055-5627 2005-08-26
1194726943 Jillian Rose Martin General Practice 1st Fssg, Mssg 15 Box 555717, Camp Pendleton, CA 92055-5717 2005-08-02
1629636477 Nikolas Brien Gutierrez General Practice 200 Mercy Circle, Camp Pendleton, CA 92055 2019-06-05
1477828861 Michael Ryan Austin General Practice 22 Area Branch Medical Clinic, Camp Pendleton, Camp Pendleton, CA 92055 2012-03-19
1033311758 Bryan Keenan General Practice Mag 39, Area 22 Medical, Bldg 22190, Camp Pendleton, CA 92055 2007-06-04
Find all providers in CAMP PENDLETON

Competitor

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City CAMP PENDLETON
Zip Code 92055

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Dataset Information

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.

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