NPIMap

Organization Active NPI

NMC San Diego

  • Military General Acute Care Hospital
  • San Diego, CA
National Provider Identifier
1396732871
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military General Acute Care HospitalTaxonomy code 2865M2000X
Legal business name
NMC SAN DIEGO
Practice address
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone
(619) 532-6397
Fax
(619) 532-6645
NPI assigned
Sep 30, 2005
Last updated
May 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NMC SAN DIEGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Maryann Marquez
Title
Ubo Manager
Phone
(619) 532-5083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military General Acute Care Hospital 2865M2000X NU Primary

Addresses

Primary practice location

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Mailing address

34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone (619) 532-6397

Other identifiers 5

IdentifierTypeStateIssuer
HSP63228FMedicaidCA
ZZT23228FMedicaidCA
ZZZH3722ZOtherCABS PIN UB92
05-20862OtherCANCPDP
00DOD3000OtherCABS PIN HCFA 1500

National Provider Directory

National Provider Directory
Tax ID family
Naval Medical Center San Diego26 organizations share this tax ID, including this one
Part of
Naval Medical Center San Diego

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1396732871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098",
            "telephone_number": "619-532-6397",
            "fax_number": "619-532-6645"
        },
        {
            "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": "619-532-6397",
            "fax_number": "619-532-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMC SAN DIEGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NMC SAN DIEGO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "619-532-5083"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP63228F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT23228F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS PIN UB92",
            "identifier": "ZZZH3722Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "05-20862",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS PIN HCFA 1500",
            "identifier": "00DOD3000",
            "state": "CA"
        }
    ],
    "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 May 30, 2025; 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.