Organization Active NPI

1St Recon Battalion Medical

  • Clinic/Center
  • Oceanside, CA
National Provider Identifier
1942574272
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
1ST RECON BATTALION MEDICAL
Practice address
562 Olympic Way
Apt L
Oceanside, CA 92058-7925
Phone
(760) 725-8912
NPI assigned
Mar 5, 2012
Last updated
Mar 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Jason Roby, D.O.
Title
Battalion Surgeon
Phone
(760) 725-8912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

562 Olympic Way
Apt L
Oceanside, CA 92058-7925

Mailing address

1St Recon BN Medical
Camp Pendleton, CA 92055
Phone (760) 725-8912

National Provider Directory

National Provider Directory
Tax ID family
Navbrhlthcl63 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1942574272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1ST RECON BN MEDICAL",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-725-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 OLYMPIC WAY",
            "address_2": "APT L",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587925",
            "telephone_number": "760-725-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST RECON BATTALION MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "ROBY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "BATTALION SURGEON",
        "authorized_official_telephone_number": "760-725-8912",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.