NAVAL MEDICAL CENTER SAN DIEGO (NPI# 1902153828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902153828 |
| Entity Type | Organization |
| Organization Name | NAVAL MEDICAL CENTER SAN DIEGO |
| Practice Address |
2005 Knight Lane Bldg H Navy Medicine Support Command Attn: Medical Staff Servi Jacksonville FL 32212-0140 |
| Mailing Address |
7860 Westside Drive #308 San Diego CA 92108 |
| Practice Telephone | 6197944459 |
| Mailing Telephone | 6303004567 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |
| Authorized Official Name | DR. ERIN SHARI BAILEY (GENERAL PRACTICE RESIDENT) |
| Authorized Official Telephone | 6303004567 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | 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 |
| 1134569924 | Naval Medical Center San Diego | Substance Abuse Rehabilitation Facility | 500 Sylvester Rd, Bldg 500, San Diego, CA 92111 | 2013-06-26 |
| 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 |
| Street Address |
2005 KNIGHT LANE BLDG H NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SERVI |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32212-0140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205828753 | Ruston L Hess | Student in an Organized Health Care Education/Training Program | 2005 Knight Lane Bldg H, Navy Medicine Support Command, Attn: Med Staff Services, Jacksonville, FL 32212-0140 | 2005-08-19 |
| 1346764586 | Nataly Yoncee | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2017-07-31 |
| 1538618392 | Scott Westra | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2016-09-22 |
| 1902354772 | Mark Warner | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2016-09-21 |
| 1124491352 | Maurice Hardy | Student in an Organized Health Care Education/Training Program | 2005 Knight Lane Bldg H, Attn:medical Staff Services Navy Mecine Support Command, Jacksonville, FL 32212 | 2015-11-10 |
| 1457729931 | Andrew Korcek | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2015-09-14 |
| 1427434232 | William Paul Alexander | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2015-08-04 |
| 1023498797 | Chhama Sarawagi | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2015-06-08 |
| 1962806901 | Kathrina Sarmiento | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2014-10-20 |
| 1033528724 | Joseph Jarman | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2014-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911752 | Jeff Woohyeok Chang | Dentist | 964 Ajax Street, Jacksonville, FL 32212 | 2020-08-06 |
| 1518484427 | Amy Kathryn Lee | Student in an Organized Health Care Education/Training Program | Bumed, Centralized Credential & Privileging Directorate, 554 Keily Street, Jacksonville, FL 32212 | 2017-08-23 |
| 1659827970 | Noah Fixelle | Dentist | Bureau of Med and Surg Ccpd, 554 Keily Street, Jacksonville, VA 32212 | 2016-08-28 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1912382359 | Caitlyn Brooke Hoysock | Dentist | 554 Keiley Street, Bureau of Medicine and Surgery - Credentials, Jacksonville, FL 32212 | 2015-07-28 |
| 1285017418 | John Alexander Ruch | Dentist | 554 Keily Street Bureau of Med and Surg Ccpd, Jacksonville, FL 32212 | 2015-07-07 |
| 1407238561 | Amanda Mona Lau | Student in an Organized Health Care Education/Training Program | 554 Kelly Street, Attn Centralized Credentialing, Bureau of Medicine and Surgery, Jacksonville, FL 32212 | 2015-06-25 |
| 1063894715 | Heather Dehaan | Family Medicine | 554 Kelly Street Bureau of Medicine and Surgery, Attention: Centralized Credentialing & Privileging Dire, Jacksonville, FL 32212 | 2015-06-18 |
| 1912389677 | Catherine Garcia | Student in an Organized Health Care Education/Training Program | 554 Kelly St, Credentialing & Privileging Directorate, Bureau of Medicine & Surgery, Attention: Centralized, Jacksonville, FL 32212 | 2015-06-18 |
| 1255712675 | James Robert Benson | Dentist | 734 Keily Street, Bumed, Jacksonville, FL 32212 | 2015-06-11 |
| Find all providers in zip 32212 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073983417 | Alyssa M. Groat | Military Hospital | 3950 Hill Terrace Dr, Jacksonville, FL 32277-1323 | 2015-09-28 |
| 1427328319 | United States Navy | Military Hospital | 2005 Knight Ln., Bldg H Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2012-01-09 |
| 1083777460 | Tyler Vachon | Military Hospital | Mcas Nr Mag 29 Gas, As 100, Jacksonville, NC 28545-1034 | 2006-12-18 |
| 1487077624 | United States Navy | Military Hospital | 2080 Child St, Jacksonville, FL 32214-5005 | 2014-01-23 |
| 1306184692 | Naval Medical Center San Diego | Military Hospital | 2005 Knight Lane Bldg H, Navy Medicine Support Command, Attn: Medical Staff Serv, Jacksonville, FL 32212-0140 | 2013-01-22 |
| 1518266626 | Veterans Health Care Systems North Florida | Military Hospital | 1015 Ontario St, Jacksonville, FL 32254-2073 | 2011-03-15 |
| 1891009262 | Naval Hospital Jacksonville | Military Hospital | 2080 Child St, Jacksonville, FL 32214-5000 | 2010-07-28 |
| 1851521967 | Naval Hospital At Jacksonville | Military Hospital | 2080 Child St, Jacksonville, FL 32214-5005 | 2009-07-23 |
| 1326017419 | Naval Hospital Jacksonville | Military Hospital | 2080 Child St, Naval Hospital Jacksonville- Internal Medicine Clinic, Jacksonville, FL 32214-5005 | 2006-03-14 |
| 1518930536 | Naval Hospital Nas Jacksonville Pharmacy Dept | Military Hospital | 2080 Child St, Jacksonville, FL 32214-5005 | 2006-02-09 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32212 |
Please comment or provide details below to improve the information on NAVAL MEDICAL CENTER SAN DIEGO.
| 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.