NPIMap

Organization Active NPI

United States Navy

  • Military Hospital
  • San Diego, CA
National Provider Identifier
1003226309
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
H01236278 Issued in HI
Legal business name
UNITED STATES NAVY
Practice address
Surface Warfare Medical Institute
34101 Farenholt Avenue, Building 14
San Diego, CA 92134-5291
Phone
(619) 532-7968
NPI assigned
May 7, 2014
Last updated
May 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Randy Shanard Cunningham, IDC
Title
Independent Duty Corpsman
Phone
(205) 936-6013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X H01236278 HI Primary

Addresses

Primary practice location

Surface Warfare Medical Institute
34101 Farenholt Avenue, Building 14
San Diego, CA 92134-5291

Mailing address

Surface Warfare Medical Institute
34101 Farenholt Avenue, Building 14
San Diego, CA 92134-5291
Phone (619) 532-7968

National Provider Directory

National Provider Directory
Tax ID family
Navbrhlthcl63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

34101 Farenholt Ave
Bldg 14
San Diego, CA 92134
Phone (619) 532-6195

Practitioners & affiliated clinicians

Practitioners 185

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 185

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1003226309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SURFACE WARFARE MEDICAL INSTITUTE",
            "address_2": "34101 FARENHOLT AVENUE, BUILDING 14",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921345291",
            "telephone_number": "619-532-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SURFACE WARFARE MEDICAL INSTITUTE",
            "address_2": "34101 FARENHOLT AVENUE, BUILDING 14",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921345291",
            "telephone_number": "619-532-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES NAVY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "SHANARD",
        "authorized_official_title_or_position": "INDEPENDENT DUTY CORPSMAN",
        "authorized_official_telephone_number": "205-936-6013",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "IDC"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "HI",
            "license": "H01236278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.