Naval Hospital Balboa

Primary specialty

Military HospitalTaxonomy code 286500000X

Legal business name

NAVAL HOSPITAL BALBOA

Practice address

34800 Bob Wilson Dr
BLDG 1 Suite 207
San Diego, CA 92134-1207

Phone

(619) 532-5829

NPI assigned

Oct 16, 2009

Last updated

Oct 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa A Davis

Title

39/Student

Phone

(619) 532-5829

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1376878876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "address_2": "BLDG 1 SUITE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341207",
            "telephone_number": "619-532-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "address_2": "BLDG 1 SUITE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341207",
            "telephone_number": "619-532-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL HOSPITAL BALBOA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "39/STUDENT",
        "authorized_official_telephone_number": "619-532-5829",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL/MEDICARE",
            "identifier": "39",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Berenice Nava, M.D.
• Miyuki Nava
• Savannah Nava
• Stephanie Nava
• Vanessa Monic Nava
• Naval Medical Center San Diego
• Naval Medical Center San Diego
• Naval Medical Center San Diego
• Naval Medical Center San Diego
• Naval Medical Center San Diego

• Military Hospital in San Diego, CA
• Providers in San Diego, CA by specialty
• Military Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.