Active NPI
Naval Medical Center San Diego
- Military Hospital
- San Diego, CA
National Provider Identifier
1083750087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- License
- 0101058098
- Legal business name
- NAVAL MEDICAL CENTER SAN DIEGO
- Practice address
- 34800 Bob Wilson Dr
Building 1, 2 - West, Infectious Diseases Clinic
San Diego, CA 92134-1098 - Phone
- (619) 532-7475
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nimfa Cocos Teneza-Mora, M.D.
- Title
- Infectious Disease Physician
- Phone
- (619) 532-7475
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Hospital | 286500000X | 0101058098 | VA | Primary |
Addresses
Primary practice location
34800 Bob Wilson Dr
Building 1, 2 - West, Infectious Diseases Clinic
San Diego, CA 92134-1098
Mailing address
34800 Bob Wilson Dr
Building 1, 2 - West, Infectious Diseases Clinic
San Diego, CA 92134-1098
Phone (619) 532-7475
National Provider Directory
National Provider DirectoryLocations
34800 Bob Wilson Dr
Ste 1
San Diego, CA 92134
Phone (619) 532-7475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1083750087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"address_2": "BUILDING 1, 2 - WEST, INFECTIOUS DISEASES CLINIC",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921341098",
"telephone_number": "619-532-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"address_2": "BUILDING 1, 2 - WEST, INFECTIOUS DISEASES CLINIC",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921341098",
"telephone_number": "619-532-7475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAVAL MEDICAL CENTER SAN DIEGO",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "TENEZA-MORA",
"authorized_official_first_name": "NIMFA",
"authorized_official_middle_name": "COCOS",
"authorized_official_title_or_position": "INFECTIOUS DISEASE PHYSICIAN",
"authorized_official_telephone_number": "619-532-7475",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": "VA",
"license": "0101058098",
"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 Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.