NPIMap

Organization Active NPI

Naval Hospital Camp Pendleton

Doing business as BMC San Onofre MCB

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Camp Pendleton, CA
National Provider Identifier
1114121449
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
NAVAL HOSPITAL CAMP PENDLETON
Doing business as
BMC San Onofre MCB
Practice address
Basilone Rd, BLDG 520450
Camp Pendleton, CA 92055-5191
Phone
(760) 725-1621
Fax
(760) 725-1661
NPI assigned
Jun 12, 2007
Organization subpart
Yes
Parent organization
NAVAL HOSPITAL CA,MP PENDLETONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
James H Peterman
Title
Business Office Supervisor
Phone
(760) 725-1621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

Basilone Rd, BLDG 520450
Camp Pendleton, CA 92055-5191

Mailing address

PO Box 555191
Fin MGMT Code 0814
Camp Pendleton, CA 92055-5191
Phone (760) 725-1621

Other identifiers 1

IdentifierTypeStateIssuer
1386604387OtherCAPARENT FACILITY NPI

Other names 1

  • BMC SAN ONOFRE MCB Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Branch Medical Clinic Area 2243 organizations share this tax ID, including this one
Part of
Branch Medical Clinic Area 22

Other organizations with this tax ID 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1114121449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555191",
            "address_2": "FIN MGMT CODE 0814",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555191",
            "telephone_number": "760-725-1621",
            "fax_number": "760-725-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BASILONE RD, BLDG 520450",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555191",
            "telephone_number": "760-725-1621",
            "fax_number": "760-725-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL HOSPITAL CAMP PENDLETON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVAL HOSPITAL CA,MP PENDLETON",
        "enumeration_date": "2007-06-12",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "PETERMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BUSINESS OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "760-725-1621"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT FACILITY NPI",
            "identifier": "1386604387",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BMC SAN ONOFRE MCB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camp Pendleton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.