Active NPI
Naval Hospital Camp Pendleton
Doing business as Camp Pend 62 Abc WCC Phcy
- Military/U.S. Coast Guard Pharmacy
- El Centro, CA
National Provider Identifier
1841603248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military/U.S. Coast Guard Pharmacy
- Legal business name
- NAVAL HOSPITAL CAMP PENDLETON
- Doing business as
- Camp Pend 62 Abc WCC Phcy
- Practice address
- Branch Medical Clinic Naf
BLDG 23
El Centro, CA 92055 - Phone
- (760) 725-7918
- Fax
- (760) 725-1461
- NPI assigned
- Jun 4, 2014
- Organization subpart
- Yes
- Parent organization
- NAVAL HOSPITAL CAMP PENDLETON
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Hector Morales
- Title
- Chief Dha Posc
- Phone
- (210) 536-6650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Pharmacy | 332000000X | Primary |
Addresses
Primary practice location
Branch Medical Clinic Naf
BLDG 23
El Centro, CA 92055
Mailing address
34520 Bob Wilson Dr
Ste 20
San Diego, CA 92134-2098
Phone (619) 532-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2146001 | Other | PK |
Other names 1
- CAMP PEND 62 ABC WCC PHCY
National Provider Directory
National Provider Directory- Tax ID family
- Branch Medical Clinic Area 22
- Part of
- Branch Medical Clinic Area 22
Other organizations with this tax ID 42
Organizations that report the same tax identification number in the National Provider Directory.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678233600000",
"number": "1841603248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34520 BOB WILSON DR",
"address_2": "STE 20",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921342098",
"telephone_number": "619-532-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BRANCH MEDICAL CLINIC NAF",
"address_2": "BLDG 23",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "92055",
"telephone_number": "760-725-7918",
"fax_number": "760-725-1461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAVAL HOSPITAL CAMP PENDLETON",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NAVAL HOSPITAL CAMP PENDLETON",
"enumeration_date": "2014-06-04",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A",
"authorized_official_last_name": "MORALES",
"authorized_official_first_name": "HECTOR",
"authorized_official_title_or_position": "CHIEF DHA POSC",
"authorized_official_telephone_number": "210-536-6650",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332000000X",
"taxonomy_group": "",
"desc": "Military/U.S. Coast Guard Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2146001",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CAMP PEND 62 ABC WCC PHCY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CAMP PEND 62 ABC WCC PHCY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.