NPIMap

Organization Active NPI

Naval Medical Center San Diego

  • Military Hospital
  • San Diego, CA
National Provider Identifier
1366677445
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
1710I1002X Issued in CA
Legal business name
NAVAL MEDICAL CENTER SAN DIEGO
Practice address
2051 Cushing Rd
San Diego, CA 92106-6173
Phone
(619) 524-0113
Fax
(619) 524-6318
NPI assigned
May 19, 2009
Last updated
May 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Mr. Thomas Balcom
Title
Senior Medical Officer
Phone
(619) 524-0113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 1710I1002X CA Primary

Addresses

Primary practice location

2051 Cushing Rd
San Diego, CA 92106-6173

Mailing address

2051 Cushing Rd
San Diego, CA 92106-6173
Phone (619) 524-0113

Other names 1

  • US NAVY Other name

National Provider Directory

National Provider Directory
Tax ID family
John Keeling63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1366677445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 CUSHING RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066173",
            "telephone_number": "619-524-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 CUSHING RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066173",
            "telephone_number": "619-524-0113",
            "fax_number": "619-524-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL MEDICAL CENTER SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "BALCOM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SENIOR MEDICAL OFFICER",
        "authorized_official_telephone_number": "619-524-0113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "CA",
            "license": "1710I1002X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US NAVY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 19, 2009; 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.