NPIMap

Organization Active NPI

Naval Medical Center San Diego

  • Military Hospital
  • San Diego, CA
National Provider Identifier
1780938209
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
Legal business name
NAVAL MEDICAL CENTER SAN DIEGO
Practice address
35000 Guadalcanal Ave
BLDG 596
San Diego, CA 92140
Phone
(619) 524-5196
NPI assigned
Nov 6, 2012
Last updated
Nov 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Jerry Moncada Juan
Title
Independent Duty Corpsman
Phone
(760) 468-6860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X Primary

Addresses

Primary practice location

35000 Guadalcanal Ave
BLDG 596
San Diego, CA 92140

Mailing address

605 D Street
National City, CA 91950
Phone (760) 468-6860

Other identifiers 1

IdentifierTypeStateIssuer
A7948523OtherCADRIVER'S LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Nmcsd63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

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

View all 17

Locations

35000 Guadalcanal St
Bldg 596
San Diego, CA 92140
Phone (619) 524-1565

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1780938209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 D STREET",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "91950",
            "telephone_number": "760-468-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35000 GUADALCANAL AVE",
            "address_2": "BLDG 596",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92140",
            "telephone_number": "619-524-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL MEDICAL CENTER SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "JUAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "MONCADA",
        "authorized_official_title_or_position": "INDEPENDENT DUTY CORPSMAN",
        "authorized_official_telephone_number": "760-468-6860"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "A7948523",
            "state": "CA"
        }
    ],
    "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 Nov 6, 2012; 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.