NPIMap

Organization Active NPI

MCC San Diego

  • Prison Health Clinic/Center
  • San Diego, CA
National Provider Identifier
1538748983
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
MCC SAN DIEGO
Practice address
808 Union St
San Diego, CA 92101-6030
Phone
(619) 232-4311
NPI assigned
Apr 5, 2021
Organization subpart
Yes
Parent organization
US DEPT OF JUSTICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Adam Loyson
Title
Chief Pharmacist, MCC San Diego
Phone
(619) 232-4311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

808 Union St
San Diego, CA 92101-6030

Mailing address

808 Union St
San Diego, CA 92101-6030
Phone (619) 232-4311

National Provider Directory

National Provider Directory
Tax ID family
Fci Texarkana49 organizations share this tax ID, including this one
Part of
Fci Texarkana

Other organizations with this tax ID 48

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

View all 48

Locations

808 Union St
San Diego, CA 92101
Phone (619) 232-4311

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1538748983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 UNION ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016030",
            "telephone_number": "619-232-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 UNION ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016030",
            "telephone_number": "619-232-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCC SAN DIEGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US DEPT OF JUSTICE",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "LOYSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CHIEF PHARMACIST, MCC SAN DIEGO",
        "authorized_official_telephone_number": "619-232-4311"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 5, 2021; 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.