Active NPI
Cole Thomas Demoulpied, CORPSMAN
- Military Health Care Provider
- San Diego, CA
National Provider Identifier
1275205940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- Practice address
- 2587 Old Quarry Rd
Unit 2232
San Diego, CA 92108 - Phone
- (231) 632-4574
- NPI assigned
- Oct 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | Primary |
Addresses
Primary practice location
2587 Old Quarry Rd
Unit 2232
San Diego, CA 92108
Mailing address
2587 Old Quarry Rd
Unit 2232
San Diego, CA 92108
Phone (231) 632-4574
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D541122792699 | Medicaid | DE | |
| 123456789 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | geniesis | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1275205940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2587 OLD QUARRY RD",
"address_2": "UNIT 2232",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "231-632-4574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2587 OLD QUARRY RD",
"address_2": "UNIT 2232",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "231-632-4574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMOULPIED",
"first_name": "COLE",
"middle_name": "THOMAS",
"credential": "CORPSMAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-01",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D541122792699",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123456789",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "geniesis",
"affiliation": "N",
"endpointDescription": "geniesis",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2587 Old Quarry Rd",
"address_2": "Unit 2232",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "92108",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.