David Grant Medical Center

Primary specialty

Military HospitalTaxonomy code 286500000X

License

02002613A Issued in IN

Legal business name

DAVID GRANT MEDICAL CENTER

Practice address

101 Bodin Cir
Travis Afb, CA 94535-1809

Phone

(707) 423-7611

Fax

(707) 423-3260

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Linda L Lawrence

Title

Chief of Staff

Phone

(707) 423-7622

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689608341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-7611",
            "fax_number": "707-423-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-7611",
            "fax_number": "707-423-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID GRANT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "707-423-7622"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "IN",
            "license": "02002613A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael D'Amore, MD
• Thomas Patrick Dailey
• Paul L Dandrea, M.D.
• Nicolas Danscuk, DO
• David Grant Medical Center
• Anders Davidson, MD
• Jordan Leishman Davies, MD
• Amy Davis, M.D.
• Brian M Davis, M.D.
• Vanity Shaneka Davis, IDMT

• Military Hospital in Travis Afb, CA
• Providers in Travis Afb, CA by specialty
• Military Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.