COAST SURGERY CENTER - NAVY RESOURCE SHARING (NPI# 1992267355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992267355 |
Entity Type | Organization |
Organization Name | COAST SURGERY CENTER - NAVY RESOURCE SHARING |
Practice Address |
3444 Kearny Villa Rd San Diego CA 92123-1959 |
Mailing Address |
34800 Bob Wilson Dr San Diego CA 92134-1098 |
Practice Telephone | 8582683566 |
Enumeration Date | 2019-04-04 |
Last Update Date | 2019-04-04 |
Authorized Official Name | WILLIAM M CONDON (UBO MANAGER) |
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 | 282N00000X | General Acute Care Hospital | Hospitals |
Street Address |
3444 KEARNY VILLA RD |
City | SAN DIEGO |
State | CA |
Zip Code | 92123-1959 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063404606 | Walter Alain Thomas | Orthopaedic Surgery | 3444 Kearny Villa Rd, Ste 303, San Diego, CA 92123-1959 | 2005-08-19 |
1902413966 | Cherry Gatpo | Massage Therapist | 3444 Kearny Villa Rd, San Diego, CA 92123-1959 | 2020-09-24 |
1831696079 | Jennifer Ashley Moss | Anesthesiology | 3444 Kearny Villa Rd, San Diego, CA 92123-1959 | 2018-04-12 |
1184122053 | San Diego Anesthesia Consultants | Nurse Anesthetist, Certified Registered | 3444 Kearny Villa Rd, San Diego, CA 92123-1959 | 2018-01-25 |
1699221077 | Rml Orthopedic Group | Orthopaedic Surgery | 3444 Kearny Villa Rd, Suite 401, San Diego, CA 92123-1959 | 2016-08-26 |
1922489624 | Mwg Anesthesia Inc A Professional Corporation | Anesthesiology | 3444 Kearny Villa Rd, Suite 100, San Diego, CA 92123-1959 | 2015-06-18 |
1598144354 | Synergy Specialists Medical Group | Specialist | 3444 Kearny Villa Rd, Suite 401, San Diego, CA 92123-1959 | 2015-05-27 |
1487041174 | Genesis Healthcare Partners Dispensary | Non-Pharmacy Dispensing Site | 3444 Kearny Villa Rd, Ste 201, San Diego, CA 92123-1959 | 2015-04-20 |
1598009680 | Sean M Hickey | Physical Therapist | 3444 Kearny Villa Rd, Suite 200, San Diego, CA 92123-1959 | 2012-11-15 |
1194069278 | Justina Soltren | Physical Therapist | 3444 Kearny Villa Rd, Suite 200, San Diego, CA 92123-1959 | 2012-11-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
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Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184175374 | Kelly Lynn Memeo | General Acute Care Hospital | 8745 Aero Dr Ste 200, San Diego, CA 92123-1774 | 2016-10-22 |
1316392350 | Victor C. Coelho, Md, Inc. | General Acute Care Hospital | 2680 Bellezza Dr, San Diego, CA 92108-4763 | 2016-04-27 |
1144680695 | Reid Sasaki Md Inc | General Acute Care Hospital | 5663 Balboa Ave Unit 463, San Diego, CA 92111-2705 | 2016-02-25 |
1487028734 | Jfk Memorial Hospital | General Acute Care Hospital | 7717 Dancy Rd, San Diego, CA 92126-3040 | 2015-11-25 |
1124369632 | Brandon D Miller | General Acute Care Hospital | 2007 Pelican Hill Rd, San Diego, CA 92139-1152 | 2013-03-07 |
1992019020 | Catherine Ubaldo | General Acute Care Hospital | 2089 Chatsworth Blvd Apt 15, San Diego, CA 92107-2736 | 2010-07-30 |
1104143643 | Vision Medical Logistics | General Acute Care Hospital | 5555 Magnatron Blvd Ste I, San Diego, CA 92111-1308 | 2010-04-23 |
1891017729 | Uc San Diego Department of Anesthesiology | General Acute Care Hospital | 200 W Arbor Drive, #0801, Ucsd Dept of Anesthesiology, San Diego, CA 92103 | 2010-02-19 |
1275764292 | Ucsd Surgery | General Acute Care Hospital | 1240 India St Unit 914, San Diego, CA 92101-8551 | 2009-08-07 |
1982859138 | Cris Louise Rash | General Acute Care Hospital | 8811 Geraldine Ave, San Diego, CA 92123-2912 | 2008-12-01 |
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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.