NPIMap

Organization Active NPI

Branch Medical Clinic Temecula

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Temecula, CA
National Provider Identifier
1023550274
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
BRANCH MEDICAL CLINIC TEMECULA
Practice address
43500 Ridge Park Dr
Temecula, CA 92590
Phone
(760) 725-4357
NPI assigned
Nov 4, 2016
Last updated
May 25, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
NAVAL HOSPITAL CAMP PENDLETONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Authorized official

Name
William M Condon
Title
Bumed Ubo
Phone
(240) 401-3643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X NU Primary

Addresses

Primary practice location

43500 Ridge Park Dr
Temecula, CA 92590

Mailing address

43500 Ridge Park Dr
Temecula, CA 92590-3624

National Provider Directory

National Provider Directory
Tax ID family
Branch Dental Clinic San Onofre43 organizations share this tax ID, including this one
Part of
Branch Dental Clinic San Onofre

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Locations

43500 Ridge Park Dr
Temecula, CA 92590
Phone (951) 308-2200

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1023550274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43500 RIDGE PARK DR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43500 RIDGE PARK DR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92590",
            "telephone_number": "760-725-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH MEDICAL CLINIC TEMECULA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVAL HOSPITAL CAMP PENDLETON",
        "enumeration_date": "2016-11-04",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUMED UBO",
        "authorized_official_telephone_number": "240-401-3643"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.