Active NPI
John M Woo, M.D.
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1104897214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G72851
- Practice address
- Camp Pendleton
BLDG H200
San Diego, CA 92055 - Phone
- (760) 719-3312
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G72851 | CA | Primary |
Addresses
Primary practice location
Camp Pendleton
BLDG H200
San Diego, CA 92055
Mailing address
34800 Bob Wilson Dr
Naval Med Center San Diego, BLDG 1-1
San Diego, CA 92134-1098
Phone (619) 532-7890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G72851 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1104897214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"address_2": "NAVAL MED CENTER SAN DIEGO, BLDG 1-1",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921341098",
"telephone_number": "619-532-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CAMP PENDLETON",
"address_2": "BLDG H200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-719-3312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOO",
"first_name": "JOHN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2023-06-22",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G72851",
"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 Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.