Comdt(CG-1122) U.S. Caost Guard

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

24720000X Issued in DC

Legal business name

COMDT(CG-1122) U.S. CAOST GUARD

Practice address

2100 2ND St SW
Suite 5314
Washington, DC 20593-0002

Phone

(757) 856-2230

Fax

(757) 856-2276

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Yusuf D'Cobla Williams

Title

Health Services Technician

Phone

(757) 856-2230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053406348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 2ND ST SW",
            "address_2": "SUITE 5314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930002",
            "telephone_number": "757-856-2230",
            "fax_number": "757-856-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 2ND ST SW",
            "address_2": "SUITE 5314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930002",
            "telephone_number": "757-856-2230",
            "fax_number": "757-856-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMDT(CG-1122) U.S. CAOST GUARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "YUSUF",
        "authorized_official_middle_name": "D'COBLA",
        "authorized_official_title_or_position": "HEALTH SERVICES TECHNICIAN",
        "authorized_official_telephone_number": "757-856-2230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": "DC",
            "license": "24720000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Comar
• Lillian Comas-Diaz, PH.D.
• Jennifer Susan Combs, RDH
• Sarah Ash Combs, M.D.
• Comdt (CG-1122)
• Sarah Kathryn Comer
• Comfort Care, LLC
• Comfort Care, LLC
• Comfort Healthcare Inc
• Comfort Senior Care, LLC

• Other Technician in Washington, DC
• Providers in Washington, DC by specialty
• Other Technician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.