Active NPI
US Navy
- Military Hospital
- San Diego, CA
National Provider Identifier
1174595979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- License
- 20A8060
- Legal business name
- US NAVY
- Practice address
- 34800 Bob Wilson Dr
San Diego, CA 92134-1098 - Phone
- (619) 532-6400
- NPI assigned
- Feb 6, 2006
- Last updated
- Jun 25, 2008
- 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
- Dr. Michael R Ancona Jr., DO
- Title
- Anesthesiologist
- Phone
- (619) 532-8949
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Hospital | 286500000X | 20A8060 | CA | Primary |
Addresses
Primary practice location
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Mailing address
200 Horizon Hills Dr
El Cajon, CA 92020-8125
Phone (619) 334-6043
National Provider Directory
National Provider DirectoryLocations
34800 Bob Wilson Dr
San Diego, CA 92134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1174595979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HORIZON HILLS DR",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920208125",
"telephone_number": "619-334-6043"
},
{
"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": "619-532-6400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "US NAVY",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-06",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "ANCONA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "ANESTHESIOLOGIST",
"authorized_official_telephone_number": "619-532-8949",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": "CA",
"license": "20A8060",
"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 Jun 25, 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.