Organization Active NPI

Naval Medical Center San Diego

  • Military General Acute Care Hospital
  • San Diego, CA
National Provider Identifier
1134569924
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military General Acute Care HospitalTaxonomy code 2865M2000X
License
LCS 23698 Issued in CA
Legal business name
NAVAL MEDICAL CENTER SAN DIEGO
Practice address
500 Sylvester Rd
BLDG 500
San Diego, CA 92111
Phone
(619) 553-0354
Fax
(619) 553-8945
NPI assigned
Jun 26, 2013
Organization subpart
Yes
Parent organization
DEPARTMENT OF DEFENCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Mrs. Fuerte Rhoda
Title
Medical Staff Services
Phone
(619) 532-6684

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military General Acute Care Hospital 2865M2000X LCS 23698 CA Primary
Substance Abuse Rehabilitation Facility 324500000X LCS 23698 CA

Addresses

Primary practice location

500 Sylvester Rd
BLDG 500
San Diego, CA 92111

Mailing address

500 Sylvester Rd
BLDG 500
San Diego, CA 92106
Phone (619) 553-0354

National Provider Directory

National Provider Directory
Part of
Naval Medical Center San Diego

Locations

500 Sylvester Rd
BLDG 500
San Diego, CA 92111
Phone (619) 553-0354

500 Sylvester Rd
BLDG 500
San Diego, CA 92106

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1134569924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SYLVESTER RD",
            "address_2": "BLDG 500",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92106",
            "telephone_number": "619-553-0354",
            "fax_number": "619-553-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SYLVESTER RD",
            "address_2": "BLDG 500",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92111",
            "telephone_number": "619-553-0354",
            "fax_number": "619-553-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL MEDICAL CENTER SAN DIEGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF DEFENCE",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "RHODA",
        "authorized_official_first_name": "FUERTE",
        "authorized_official_title_or_position": "MEDICAL STAFF SERVICES",
        "authorized_official_telephone_number": "619-532-6684",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "CA",
            "license": "LCS 23698",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "LCS 23698",
            "primary": false
        }
    ],
    "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 26, 2013; 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.