Active NPI
United States Navy
- Military Hospital
- Twentynine Palms, CA
National Provider Identifier
1154569572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- License
- 8425
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.