NPIMap

Organization Active NPI

United States Navy

  • Independent Duty Corpsman
  • 29 Palms, CA
National Provider Identifier
1568905511
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Legal business name
UNITED STATES NAVY
Practice address
1St Mardiv 7TH Marine Reg
Navpers Office BLDG 1525
29 Palms, CA 92278-8150
Phone
(760) 830-5707
NPI assigned
Nov 23, 2016
Last updated
Nov 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Authorized official

Name
Mikhailpietro Orena Drilon
Title
Independent Duty Corpsman
Phone
(626) 215-1564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty CorpsmanGroup: 193400000X SINGLE SPECIALTY GROUP 1710I1002X Primary

Addresses

Primary practice location

1St Mardiv 7TH Marine Reg
Navpers Office BLDG 1525
29 Palms, CA 92278-8150

Mailing address

10614 Pinewood Ave
Tujunga, CA 91042-1513
Phone (818) 353-8277

National Provider Directory

National Provider Directory
Tax ID family
John Keeling63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1568905511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10614 PINEWOOD AVE",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910421513",
            "telephone_number": "818-353-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST MARDIV 7TH MARINE REG",
            "address_2": "NAVPERS OFFICE BLDG 1525",
            "city": "29 PALMS",
            "state": "CA",
            "postal_code": "922788150",
            "telephone_number": "760-830-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES NAVY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "DRILON",
        "authorized_official_first_name": "MIKHAILPIETRO",
        "authorized_official_middle_name": "ORENA",
        "authorized_official_title_or_position": "INDEPENDENT DUTY CORPSMAN",
        "authorized_official_telephone_number": "626-215-1564"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in 29 Palms, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.