Organization Active NPI

United States Navy

  • Military Hospital
  • Twentynine Palms, CA
National Provider Identifier
1154569572
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
8425 Issued in CA
Legal business name
UNITED STATES NAVY
Practice address
7032 Star Dune Ave
Twentynine Palms, CA 92277-3090
Phone
(559) 707-0406
NPI assigned
Jan 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Mr. Justin Paul Vecere Sr.
Title
Surface Force Independent Duty Corp
Phone
(559) 707-0406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 8425 CA Primary

Addresses

Primary practice location

7032 Star Dune Ave
Twentynine Palms, CA 92277-3090

Mailing address

7032 Star Dune Ave
Twentynine Palms, CA 92277
Phone (559) 707-0406

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1154569572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7032 STAR DUNE AVE",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "92277",
            "telephone_number": "559-707-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7032 STAR DUNE AVE",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922773090",
            "telephone_number": "559-707-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES NAVY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "VECERE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "SURFACE FORCE INDEPENDENT DUTY CORP",
        "authorized_official_telephone_number": "559-707-0406",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "CA",
            "license": "8425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twentynine Palms, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.