Organization Active NPI

Naval Medical Center San Diego

  • Military Hospital
  • Jacksonville, FL
National Provider Identifier
1306184692
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
90496 Issued in CA
Legal business name
NAVAL MEDICAL CENTER SAN DIEGO
Practice address
2005 Knight Lane BLDG H
Navy Medicine Support Command, Attn: Medical Staff Serv
Jacksonville, FL 32212-0140
Phone
(619) 532-6684
NPI assigned
Jan 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Julie Spring
Title
Crna
Phone
(619) 952-3510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 90496 CA Primary

Addresses

Primary practice location

2005 Knight Lane BLDG H
Navy Medicine Support Command, Attn: Medical Staff Serv
Jacksonville, FL 32212-0140

Mailing address

303 Woodmeadow LN
Ramona, CA 92065-5043

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1306184692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WOODMEADOW LN",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920655043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 KNIGHT LANE BLDG H",
            "address_2": "NAVY MEDICINE SUPPORT COMMAND, ATTN: MEDICAL STAFF SERV",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322120140",
            "telephone_number": "619-532-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL MEDICAL CENTER SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "SPRING",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "619-952-3510"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "CA",
            "license": "90496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.