Naval Expeditionary Medical Training Institute

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

NAVAL EXPEDITIONARY MEDICAL TRAINING INSTITUTE

Practice address

632044 San Mateo Rd
Nomi Det Nemti Box 555223
Camp Pendleton, CA 92055

Phone

(760) 725-7121

NPI assigned

Mar 8, 2006

Organization subpart

No

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

Authorized official

Name

Elizabeth A Breza, NC

Title

Officer in Charge

Phone

(760) 725-7121

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407823479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4918 SEASCAPE DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920576253",
            "telephone_number": "760-725-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632044 SAN MATEO RD",
            "address_2": "NOMI DET NEMTI BOX 555223",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-725-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL EXPEDITIONARY MEDICAL TRAINING INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BREZA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICER IN CHARGE",
        "authorized_official_telephone_number": "760-725-7121",
        "authorized_official_credential": "NC"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "632044",
            "identifier": "BLDG 632044",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Lawrence Murray, SOIDC
• Kimbra Gail Myers, RDH
• Harold Ivan Nadel, M.D.
• David Naimi, DO
• Naval Dental Clinic Camp Pendleton
• Naval Hospital Camp Pendleton (BMC Camp Delmar MCB)
• Naval Hospital Camp Pendleton (BMC San Onofre MCB)
• Naval Hospital Camp Pendleton (Camp Pend 22 Abc WCC Phcy)
• Naval Hospital Camp Pendleton (Camp Pend 41 Abc WCC Phcy)
• Naval Hospital Camp Pendleton

• Military/U.S. Coast Guard Outpatient Clinic/Center in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.