USCG ISC SAN PEDRO CLINIC
NPI 1003968942
Clinic/Center - Military/U.S. Coast Guard Outpatient in Washington, DC

Active since January 18, 2007
2100 2ND ST SW, SUITE 5314, WASHINGTON, DC 20593(202) 267-0801 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Uscg Isc San Pedro Clinic NPPES

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

USCG ISC SAN PEDRO CLINIC (NPI 1003968942) is a healthcare organization registered as a military/u.s. coast guard outpatient in Washington, District Of Columbia and active in the NPI registry since January 2007. The organization lists David Romero, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1003968942
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameUSCG ISC SAN PEDRO CLINIC
Location Address2100 2ND ST SW, SUITE 5314Washington, DC 20593-0002
Mailing Address2100 2nd St Sw, Suite 5314Washington, DC 20593-0002
Organization SubpartNo
Authorized OfficialDavid RomeroClinic Administrator · (310) 732-7500
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1003968942 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.
2100 2ND ST SW, Washington, DC 20593

Other Identifiers 1

Other24720000XDC · 24720000x

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2100 2ND ST SW, B-732
WASHINGTON, DC 20593
Technician, Other
2100 2ND ST SW, SUITE 5314
WASHINGTON, DC 20593
Technician, Other
2100 2ND ST SW, SUITE 5314
WASHINGTON, DC 20593
Technician, Other
2100 2ND ST SW
WASHINGTON, DC 20593
Technician, Other
2100 2ND ST SW, SUITE 5314
WASHINGTON, DC 20593
Dentist
2100 2ND ST SW
WASHINGTON, DC 20593
Family Medicine
2100 2ND ST SW, STE. 5314
WASHINGTON, DC 20593
Dental Hygienist
2100 2ND ST SW, SUITE 5314
WASHINGTON, DC 20593

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 Uscg Isc San Pedro Clinic's NPI number?

The NPI number for Uscg Isc San Pedro Clinic is 1003968942. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Uscg Isc San Pedro Clinic located?

Uscg Isc San Pedro Clinic is located at 2100 2nd St SW Suite 5314, Washington, DC 20593. The listed phone number is (202) 267-0801.

What is Uscg Isc San Pedro Clinic'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 Uscg Isc San Pedro Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.