Weed Army Community Hospital

Primary specialty

Military HospitalTaxonomy code 286500000X

License

481436 Issued in CA

Legal business name

WEED ARMY COMMUNITY HOSPITAL

Practice address

Building 170
Fort Irwin, CA 92310

Phone

(760) 380-5183

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Victoria Regina Davis, RNNPI 1457383390

Title

Head Nurse

Phone

(760) 380-5183

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEDDAC Fort Irwin, CA Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria Regina Davis, REGISTERED NURSE

  • Registered Nurse
  • Fort Irwin, CA
  • NPI 1457383390
  NPD (past) Authorized official

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114975513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15752 SCOTT DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365046",
            "telephone_number": "951-235-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 170",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "760-380-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEED ARMY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "REGINA",
        "authorized_official_title_or_position": "HEAD NURSE",
        "authorized_official_telephone_number": "760-380-5183",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "CA",
            "license": "481436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "481436",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDDAC Fort Irwin, CA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marvy Blancaflor Walker, DENTAL ASSISTANT
• Edward Wang, M.D.
• Christine Corral Warner
• Michael Warnock Jr., RN
• Weed Army Community Hospital
• Weed Army Community Hospital
• Weed Army Community Hospital
• Weed Army Community Hospital
• Weed Army Community Hospital
• Weed Army Community Hospital

• Military Hospital in Fort Irwin, CA
• Providers in Fort Irwin, CA by specialty
• Military Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.