NPIMap

Organization Active NPI

Naval Hospital Camp Pendleton

Doing business as Camp Pend 53 Abmc WCC Phcy

  • Military/U.S. Coast Guard Pharmacy
  • Camp Pendleton, CA
National Provider Identifier
1962814582
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard PharmacyTaxonomy code 332000000X
Legal business name
NAVAL HOSPITAL CAMP PENDLETON
Doing business as
Camp Pend 53 Abmc WCC Phcy
Practice address
533020 Basilone Road
53 Area Camp Horno
Camp Pendleton, CA 92055
Phone
(760) 725-7410
Fax
(760) 725-0231
NPI assigned
Jun 2, 2014
Last updated
Mar 8, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NAVAL HOSPITAL CAMP PENDLETONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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)CodeLicenseStatePrimary
Military/U.S. Coast Guard Pharmacy 332000000X NU Primary

Addresses

Primary practice location

533020 Basilone Road
53 Area Camp Horno
Camp Pendleton, CA 92055

Mailing address

34520 Bob Wilson Dr
Ste 20
San Diego, CA 92134-2098
Phone (619) 532-8400

Other identifiers 1

IdentifierTypeStateIssuer
2145991OtherPK

Other names 1

  • CAMP PEND 53 ABMC WCC PHCY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Branch Dental Clinic San Onofre43 organizations share this tax ID, including this one
Part of
Branch Dental Clinic San Onofre

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1962814582",
    "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",
            "fax_number": "760-725-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533020 BASILONE ROAD",
            "address_2": "53 AREA CAMP HORNO",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-725-7410",
            "fax_number": "760-725-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL HOSPITAL CAMP PENDLETON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAVAL HOSPITAL CAMP PENDLETON",
        "enumeration_date": "2014-06-02",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145991",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAMP PEND 53 ABMC WCC PHCY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CAMP PEND 53 ABMC WCC PHCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camp Pendleton, 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.

Verify at the official NPI Registry.