US Navy

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

License

1060858

Legal business name

US NAVY

Practice address

MCLB Barstow
Barstow, CA 92311-5050

Phone

(760) 252-0533

NPI assigned

Aug 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Gregory J Monk, PA-C

Title

Physician Assistant

Phone

(760) 577-6491

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154323665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110193",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923115050",
            "telephone_number": "760-252-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCLB BARSTOW",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923115050",
            "telephone_number": "760-252-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US NAVY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "760-577-6491",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": "1060858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Haurjay Tsai, MD
• Sheryl Tucker
• Cole Turner
• Nicole Ulivarri
• Corine Ulloa
• Tina M Valadez
• Vrihzaida Valdez
• Christina Vasquez
• Marina Vasquez
• Kristen Velarde

• Military/U.S. Coast Guard Outpatient Clinic/Center in Barstow, CA
• Providers in Barstow, CA by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center 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.