Organization Active NPI

United States Navy

  • Independent Duty Corpsman
  • San Diego, CA
National Provider Identifier
1770877136
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Legal business name
UNITED STATES NAVY
Practice address
34101 Farenholt Ave
Building 14
San Diego, CA 92134-5291
Phone
(619) 532-9427
NPI assigned
Jun 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Mr. Roy Saiz Jr., IDC
Title
Instructor
Phone
(619) 532-9427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty CorpsmanGroup: 193200000X MULTI-SPECIALTY GROUP 1710I1002X Primary

Addresses

Primary practice location

34101 Farenholt Ave
Building 14
San Diego, CA 92134-5291

Mailing address

926 Merced River Rd
Chula Vista, CA 91913-2883
Phone (619) 888-1991

National Provider Directory

National Provider Directory

Locations

34101 Farenholt Ave
Bldg 14
San Diego, CA 92134
Phone (619) 532-6195

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1770877136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 MERCED RIVER RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919132883",
            "telephone_number": "619-888-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34101 FARENHOLT AVE",
            "address_2": "BUILDING 14",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921345291",
            "telephone_number": "619-532-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES NAVY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "SAIZ",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "INSTRUCTOR",
        "authorized_official_telephone_number": "619-532-9427",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "IDC"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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, 2011; 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.