Active NPI
Tactical Medical Group Inc.
- Emergency Medicine Physician
- Coronado, CA
National Provider Identifier
1558411975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G80484
- Legal business name
- TACTICAL MEDICAL GROUP INC.
- Practice address
- 250 Prospect PL
Coronado, CA 92118-1943 - Phone
- (619) 522-3722
- NPI assigned
- Jan 10, 2007
- Last updated
- Sep 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert W Curran, M.D.
- Title
- President
- Phone
- (480) 967-6500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G80484 | CA | Primary |
Addresses
Primary practice location
250 Prospect PL
Coronado, CA 92118-1943
Mailing address
PO Box 28247
Tempe, AZ 85285-8247
Phone (480) 967-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G804840 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
941 Orange Ave
Coronado, CA 92118
Phone (619) 459-0162
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1063414753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285632000000",
"number": "1558411975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28247",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852858247",
"telephone_number": "480-967-6500",
"fax_number": "480-967-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PROSPECT PL",
"city": "CORONADO",
"state": "CA",
"postal_code": "921181943",
"telephone_number": "619-522-3722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TACTICAL MEDICAL GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2010-09-28",
"status": "A",
"authorized_official_last_name": "CURRAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-967-6500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G80484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G804840",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coronado, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.