NPIMap

Organization Active NPI

Naval Medical Center San Diego

  • General Acute Care Hospital
  • San Diego, CA
National Provider Identifier
1366527764
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
LCS 17684 Issued in CA
Legal business name
NAVAL MEDICAL CENTER SAN DIEGO
Practice address
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone
(619) 532-7355
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rebecca Valentine Sparks
Title
Department Head
Phone
(619) 532-7150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X LCS 17684 CA Primary

Addresses

Primary practice location

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Mailing address

4412 Upland St
La Mesa, CA 91941-6517
Phone (610) 469-7335

National Provider Directory

National Provider Directory
Tax ID family
Naval Medical Center San Diego2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366527764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 UPLAND ST",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919416517",
            "telephone_number": "610-469-7335"
        },
        {
            "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": "619-532-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL MEDICAL CENTER SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "VALENTINE",
        "authorized_official_title_or_position": "DEPARTMENT HEAD",
        "authorized_official_telephone_number": "619-532-7150"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "LCS 17684",
            "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 22, 2020; 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.