Air Force
Organization Active NPI Military Hospital · Fairfield, CA
NPI 1013079334 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1013079334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Military Hospital 286500000X
- License
- 4679 (PR)
- Legal business name
- AIR FORCE
- Practice address
- 2569 Shorey Way
Fairfield, CA 94533-6562 - Phone
- (707) 816-8622
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Marcos J Lopez
- Title
- Clinical Pharmacist
- Phone
- (707) 423-3459
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- 60TH Medical Group
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Hospital | 286500000X | 4679 | PR | Yes |
Addresses
Primary practice location
2569 Shorey Way
Fairfield, CA 94533-6562
Mailing address
2569 Shorey Way
Fairfield, CA 94533-6562
Other names
- David Grant Medical Center
Other providers in Fairfield, CA
- Chinonso Ahamefule
- Yusuf Haroon Ahmad
- Sumera Ahmed
- Diana Ahumada
- Kasey K Aikens
- Syamala R. Aiyar
- Manuel Schetar Akoto
- Mounzer B. Al Samman
- Reshtina Alamzai
- Artemio Alanis
All providers in Fairfield, CA · Military Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.