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

About BRANCH MEDICAL CLINIC NAVAL STATION SAN DIEGO

Branch Medical Clinic Naval Station San Diego is a provider established in San Diego, California operating as a Clinic/center with a focus in military/u.s. coast guard outpatient . The NPI number of this provider is 1003006628 and was assigned on July 2007. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. William Michael Condon (Navy Medicine Ubo Program Manager)

NPI
1003006628
Provider NameBRANCH MEDICAL CLINIC NAVAL STATION SAN DIEGO
Location Address2450 CRAVEN STEET SAN DIEGO, CA 92136
Location Phone(619) 556-6302
Mailing Address2450 CRAVEN ST SAN DIEGO, CA 92136
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date07-30-2007
Last Update Date04-04-2019


Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code261QM1100X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMilitary/U.S. Coast Guard Outpatient
Taxonomy DescriptionThe 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

2450 CRAVEN STEET
SAN DIEGO, CA
ZIP 92136
Phone: (619) 556-6302
Fax: (619) 556-9419

Get Directions


Mailing Address

2450 CRAVEN ST
SAN DIEGO, CA
ZIP 92136
Phone: (619) 556-6302
Fax: (619) 556-9419


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official NameMR. WILLIAM MICHAEL CONDON
Authorized Official TitleNAVY MEDICINE UBO PROGRAM MANAGER
Authorized Official Phone(240) 401-3643

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
HSP63228FMEDICAID (05)CA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003006628
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003001264
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 2 + 6 + 4 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1003006628 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

What is BRANCH MEDICAL CLINIC NAVAL STATION SAN DIEGO NPI number?

The NPI number assigned to this healthcare provider is 1003006628, registered as an "organization" on July 30, 2007

Where is BRANCH MEDICAL CLINIC NAVAL STATION SAN DIEGO located?

The provider is located at 2450 Craven Steet San Diego, Ca 92136 and the phone number is (619) 556-6302

What kind of medical provider is BRANCH MEDICAL CLINIC NAVAL STATION SAN DIEGO?

This medical organization specializes in Clinic/Center with a focus in Military/U.S. Coast Guard Outpatient

What insurance does BRANCH MEDICAL CLINIC NAVAL STATION SAN DIEGO accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

How do I update my NPI information?

The NPI record of BRANCH MEDICAL CLINIC NAVAL STATION SAN DIEGO was last updated on July 30, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]