Active NPI
Clayton Pascik
- Independent Duty Corpsman
- San Diego, CA
National Provider Identifier
1366863102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- Practice address
- 3755 Brinser St
San Diego, CA 92136-5217 - Phone
- (757) 448-5199
- NPI assigned
- Dec 20, 2013
- Last updated
- Nov 6, 2024
- 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 |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Primary |
Addresses
Primary practice location
3755 Brinser St
San Diego, CA 92136-5217
Mailing address
3755 Brinser St Ste 1
San Diego, CA 92136-2481
Phone (619) 556-3563
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": "1387497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1366863102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3755 BRINSER ST STE 1",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921362481",
"telephone_number": "619-556-3563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3755 BRINSER ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921365217",
"telephone_number": "757-448-5199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCIK",
"first_name": "CLAYTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-20",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": null,
"license": null,
"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 Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.