NPIMap

Organization Active NPI

US Coast Guard

  • Clinic/Center
National Provider Identifier
1104153279
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2008333 Issued in CA
Legal business name
US COAST GUARD
Practice address
Uscgc Morgenthau
Fpo, AP 96672-3916
Phone
(501) 437-3981
NPI assigned
Nov 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Authorized official

Name
Dr. Nidhi Jain,, M.D
Title
CDR
Phone
(510) 437-3688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2008333 CA Primary

Addresses

Primary practice location

Uscgc Morgenthau
Fpo, AP 96672-3916

Mailing address

91-1035 Kai Loli Street
Ewa Beach, HI 96706
Phone (501) 437-3981

National Provider Directory

National Provider Directory
Tax ID family
Positive Behavior Support Corp6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1104153279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1035 KAI LOLI STREET",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "96706",
            "telephone_number": "501-437-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "USCGC MORGENTHAU",
            "city": "FPO",
            "state": "AP",
            "postal_code": "966723916",
            "telephone_number": "501-437-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US COAST GUARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "JAIN,",
        "authorized_official_first_name": "NIDHI",
        "authorized_official_title_or_position": "CDR",
        "authorized_official_telephone_number": "510-437-3688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "2008333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.