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DR. ONTARIO DEPREE LACEY M.D.
NPI 1053799437
Military Health Care Provider in San Diego, CA

Active since May 18, 2015
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-9795 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ontario Depree Lacey M.d. NPPES

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

DR. ONTARIO DEPREE LACEY M.D. (NPI 1053799437) is an individual military health care provider provider in San Diego, California and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1053799437
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameDR. ONTARIO DEPREE LACEYCredential: M.D.
Location Address34800 BOB WILSON DRSan Diego, CA 92134-3300
Mailing Address612 Artisan RdThousand Oaks, CA 91320-5702 · (805) 953-5993
Phone(619) 532-9795
Sole ProprietorNo
Enumeration DateMay 18, 2015
✔ NPI 1053799437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
34800 BOB WILSON DR, San Diego, CA 92134
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Other Identifiers 1

Medicare UPINVAD0000CA

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.

LORENA MARIE FUJII N.P.
Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-8910
LAKIESHA NICOLE MURPHY
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 713-3385
SUSANNA BYRNE D.O.
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. PAUL CHARLES CAMPBELL D.O.
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-7200
PHILLIP EDWARD FRY JR. DO
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
BRADLY JAMES STILLEY IDC
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (360) 941-9989
DR. ELIZABETH WHIPPLE PHD
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. ELAN HARDER BRESSLOUR-RASHAP MD
General Practice
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400

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 Ontario Lacey's NPI number?

The NPI number for Ontario Lacey is 1053799437. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Where is Ontario Lacey located?

Ontario Lacey practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-9795.

What is Ontario Lacey's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Ontario Lacey was last updated on May 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.