Active NPI
Naval Medical Center San Diego
- Military Hospital
- San Diego, CA
National Provider Identifier
1174560460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- License
- 055716
- Legal business name
- NAVAL MEDICAL CENTER SAN DIEGO
- Practice address
- 34800 Bob Wilson Dr
San Diego, CA 92134-1098 - Phone
- (800) 532-8225
- NPI assigned
- Jun 2, 2006
- 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
- Stephanie Wilson, MD
- Title
- Pediatric Resident
- Phone
- (800) 532-8225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Hospital | 286500000X | 055716 | GA | Primary |
Addresses
Primary practice location
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Mailing address
4519 50TH Street
San Diego, CA 92115
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1174560460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4519 50TH STREET",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921341098",
"telephone_number": "800-532-8225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAVAL MEDICAL CENTER SAN DIEGO",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "PEDIATRIC RESIDENT",
"authorized_official_telephone_number": "18005328225",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": "GA",
"license": "055716",
"primary": true
}
],
"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 Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.