Active NPI
United States Navy
- Military Hospital
- San Diego, CA
National Provider Identifier
1649682154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- Legal business name
- UNITED STATES NAVY
- Practice address
- Logistics Support Unit Onemedic
2424 Redova Rd BLDG 156
San Diego, CA 92155-5401 - Phone
- (619) 537-3274
- NPI assigned
- Jun 2, 2014
- 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
- Robert Hooffstetter, IDC
- Title
- Independent Duty Corpsman
- Phone
- (619) 537-3274
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Hospital | 286500000X | Primary | ||
| Military General Acute Care Hospital | 2865M2000X | |||
| Operational (Transportable) Military General Acute Care Hospital | 2865X1600X |
Addresses
Primary practice location
Logistics Support Unit Onemedic
2424 Redova Rd BLDG 156
San Diego, CA 92155-5401
Mailing address
Logistics Support Unit Onemedic
2424 Redova Rd BLDG 156
San Diego, CA 92155-5401
Phone (619) 537-3274
National Provider Directory
National Provider DirectoryLocations
2424 Rendova Rd
Ste 156
San Diego, CA 92155
Phone (619) 437-5612
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Independent Duty Corpsman
- San Diego, CA
- NPI 1801201462
-
- Clinical Neuropsychologist
- San Diego, CA
- NPI 1427029933
-
- Independent Duty Corpsman
- San Diego, CA
- NPI 1578861324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401667200000",
"number": "1649682154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LOGISTICS SUPPORT UNIT ONEMEDIC",
"address_2": "2424 REDOVA RD BLDG 156",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921555401",
"telephone_number": "619-537-3274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LOGISTICS SUPPORT UNIT ONEMEDIC",
"address_2": "2424 REDOVA RD BLDG 156",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921555401",
"telephone_number": "619-537-3274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED STATES NAVY",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-02",
"last_updated": "2014-06-02",
"status": "A",
"authorized_official_last_name": "HOOFFSTETTER",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "INDEPENDENT DUTY CORPSMAN",
"authorized_official_telephone_number": "619-537-3274",
"authorized_official_credential": "IDC"
},
"taxonomies": [
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": null,
"license": null,
"primary": true
},
{
"code": "2865M2000X",
"taxonomy_group": "",
"desc": "Military Hospital, Military General Acute Care Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "2865X1600X",
"taxonomy_group": "",
"desc": "Military Hospital, Military General Acute Care Hospital. Operational (Transportable)",
"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 Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.