California Maritime Academy

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

G057385 Issued in CA

Legal business name

CALIFORNIA MARITIME ACADEMY

Practice address

200 Maritime Academy Dr
Vallejo, CA 94590-8181

Phone

(707) 654-1170

Fax

(707) 654-1171

NPI assigned

Nov 2, 2010

Last updated

Nov 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Jakubowski

Title

Provost/Vice President

Phone

(707) 654-1020

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Cathleen Underwood Coulman, M.D.

  • Internal Medicine Physician
  • Vallejo, CA
  • NPI 1689941171
  NPD (past)
• Christine Smith, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Vallejo, CA
  • NPI 1902029879
  NPD (past)
• Ian Joseph Wallace, PH.D.

  • Psychologist
  • Vallejo, CA
  • NPI 1013143262
  NPD (past)

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1073813341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MARITIME ACADEMY DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945908181",
            "telephone_number": "707-654-1170",
            "fax_number": "707-654-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARITIME ACADEMY DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945908181",
            "telephone_number": "707-654-1170",
            "fax_number": "707-654-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA MARITIME ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "JAKUBOWSKI",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PROVOST/VICE PRESIDENT",
        "authorized_official_telephone_number": "707-654-1020",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "CA",
            "license": "G057385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarissa Karina Calderon
• Kimberlee Dawn Calderone Sr.
• Louise Rose Calhoun, OTR/L
• Caliber Changemakers Academy
• Benito Mangrobang Caliboso Jr., IDMT
• California Rehabilitation & Sports Therapy a California Physical Ther
• Ricardo Calixtro-Lopez
• Yasmine Amina Camara
• Johana Camberos
• Jason Camiling, RDH

• Student Health Clinic/Center in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Student Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.