Active NPI
NH Twentynine Palms
- Military General Acute Care Hospital
- Twentynine Palms, CA
National Provider Identifier
1699726570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military General Acute Care Hospital
- Legal business name
- NH TWENTYNINE PALMS
- Practice address
- 1145 Sturgis Road
Twentynine Palms, CA 92278 - Phone
- (760) 830-2121
- Fax
- (760) 830-2714
- NPI assigned
- May 15, 2006
- Organization subpart
- Yes
- Parent organization
- NH TWENTYNINE PALMS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Sullivan
- Title
- Ubo Manager
- Phone
- (760) 830-2121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military General Acute Care Hospital | 2865M2000X | Primary |
Addresses
Primary practice location
1145 Sturgis Road
Twentynine Palms, CA 92278
Mailing address
1145 Sturgis Road
Twentynine Palms, CA 92278
Phone (760) 830-2121
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSP43257F | Other | CA | MEDI-CAL OUTPATIENT |
| 5662 | Other | CA | BLUE CROSS & BLUE SHIELD |
| HSP33257F | Other | CA | MEDI-CAL INPATIENT |
National Provider Directory
National Provider Directory- Tax ID family
- Branch Medical Clinic China Lake
- Part of
- Branch Medical Clinic China Lake
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Bridgeport, CA
- NPI 1083817597
-
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Ridgecrest, CA
- NPI 1023212677
-
- Military/U.S. Coast Guard Pharmacy
- Twentynine Palms, CA
- NPI 1023405768
-
- Military/U.S. Coast Guard Pharmacy
- Ridgecrest, CA
- NPI 1750778569
-
- Military/U.S. Coast Guard Pharmacy
- Bridgeport, CA
- NPI 1912394727
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Camp Pendleton, CA
- NPI 1740645696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749772800000",
"number": "1699726570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 STURGIS ROAD",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "92278",
"telephone_number": "760-830-2121",
"fax_number": "760-830-2714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 STURGIS ROAD",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "92278",
"telephone_number": "760-830-2121",
"fax_number": "760-830-2714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NH TWENTYNINE PALMS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NH TWENTYNINE PALMS",
"enumeration_date": "2006-05-15",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "UBO MANAGER",
"authorized_official_telephone_number": "760-830-2121"
},
"taxonomies": [
{
"code": "2865M2000X",
"taxonomy_group": "",
"desc": "Military Hospital, Military General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL OUTPATIENT",
"identifier": "HSP43257F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "5662",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL INPATIENT",
"identifier": "HSP33257F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Twentynine Palms, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.