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NAVAL MEDICAL CENTER SAN DIEGO NPI 1396732871


NPI Information

NPI: 1396732871
Provider Name: NAVAL MEDICAL CENTER SAN DIEGO
Classification: Military Hospital - 2865M2000X
Entity Type: Organization

Specialization: Military General Acute Care Hospital

Address:
34800 BOB WILSON DR
SAN DIEGO, CA
ZIP 92134
Phone: (619) 532-6397
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NAVAL MEDICAL CENTER SAN DIEGO is a military general acute care hospital military hospital in San Diego, CA. The provider is a Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in fixed facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A fixed facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as pass-through items. NAVAL MEDICAL CENTER SAN DIEGO NPI is 1396732871. The provider is registered as an organization entity type.

The provider's business location address is:

34800 BOB WILSON DR
SAN DIEGO, CA
ZIP 92134-098
Phone: (619) 532-6397
Fax: (619) 532-6645

The provider's authorized official is William Michael Condon .
The authorized official title is Navy Medicine Ubo Program Manager and has the following contact phone number (240) 401-3643.

The enumeration date for this NPI number is 9/30/2005 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12865M2000XMilitary HospitalMilitary General Acute Care HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105-20862OTHERCALIFORNIANCPDP
2ZZT23228FMEDICAIDCALIFORNIA
300DOD3000OTHERCALIFORNIABS PIN HCFA 1500
4HSP63228FMEDICAIDCALIFORNIA
5ZZZH3722ZOTHERCALIFORNIABS PIN UB92

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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