BRANCH MEDICAL CLINIC NAVAL STATION SAN DIEGO
NPI 1003006628
Clinic/Center - Military/U.S. Coast Guard Outpatient in San Diego, CA

Active since July 30, 2007
2450 CRAVEN STEET, SAN DIEGO, CA 92136(619) 556-6302(619) 556-9419 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2019, Dec 19, 2017 (2 updates tracked since 2017).

About Branch Medical Clinic Naval Station San Diego NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANCH MEDICAL CLINIC NAVAL STATION SAN DIEGO (NPI 1003006628) is a healthcare organization registered as a military/u.s. coast guard outpatient in San Diego, California and active in the NPI registry since July 2007. The organization lists William Michael Condon, Navy Medicine Ubo Program Manager, as its authorized official.

NPPES Registry Identity

NPI1003006628
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameBRANCH MEDICAL CLINIC NAVAL STATION SAN DIEGO
Location Address2450 CRAVEN STEETSan Diego, CA 92136-5599
Mailing Address2450 Craven StSan Diego, CA 92136-5599 · (619) 556-6302 · Fax (619) 556-9419
Fax(619) 556-9419
Organization SubpartYesParent: Naval Medical Center San Diego
Authorized OfficialWilliam Michael CondonNavy Medicine Ubo Program Manager · (240) 401-3643
Enumeration DateJuly 30, 2007
Last NPPES UpdateApril 4, 20192 updates tracked since enumeration
NPI 1003006628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
2450 CRAVEN STEET, San Diego, CA 92136

Other Identifiers 1

MedicaidHSP63228FCA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Branch Medical Clinic Naval Station San Diego's NPI number?

The NPI number for Branch Medical Clinic Naval Station San Diego is 1003006628. It was assigned to this organization in the NPPES registry on July 30, 2007.

Where is Branch Medical Clinic Naval Station San Diego located?

Branch Medical Clinic Naval Station San Diego is located at 2450 Craven Steet, San Diego, CA 92136. The listed phone number is (619) 556-6302.

What is Branch Medical Clinic Naval Station San Diego's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for Branch Medical Clinic Naval Station San Diego was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.