NPIMap

Organization Active NPI

Naval Medical Center San Diego

Doing business as San DG Nab Coronado Phcy

  • Military/U.S. Coast Guard Pharmacy
  • San Diego, CA
National Provider Identifier
1639278682
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
NAVAL MEDICAL CENTER SAN DIEGO
Doing business as
San DG Nab Coronado Phcy
Practice address
Bouganville Rd
BLDG 506
San Diego, CA 92155-0001
Phone
(619) 437-2497
Fax
(619) 532-5898
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Hector Morales
Title
Chief Dha Pass
Phone
(210) 536-6650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Pharmacy 332000000X Primary

Addresses

Primary practice location

Bouganville Rd
BLDG 506
San Diego, CA 92155-0001

Mailing address

Bouganville Rd
BLDG 506
San Diego, CA 92155-0001
Phone (619) 437-2497

Other identifiers 1

IdentifierTypeStateIssuer
2028523OtherPK

Other names 1

  • SAN DG NAB CORONADO PHCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McDonald Army Health Care Center200 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

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

View all 22

Locations

Bouganville Rd
San Diego, CA 92155
Phone (619) 437-2497

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1639278682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOUGANVILLE RD",
            "address_2": "BLDG 506",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921550001",
            "telephone_number": "619-437-2497",
            "fax_number": "619-532-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOUGANVILLE RD",
            "address_2": "BLDG 506",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921550001",
            "telephone_number": "619-437-2497",
            "fax_number": "619-532-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL MEDICAL CENTER SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "CHIEF DHA PASS",
        "authorized_official_telephone_number": "210-536-6650"
    },
    "taxonomies": [
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2028523",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN DG NAB CORONADO PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 15, 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.