TRICARE OUTPATIENT CLINIC CHULA VISTA
NPI 1467644625
Clinic/Center - Military/U.S. Coast Guard Outpatient in Chula Vista, CA

Q: What is Tricare Outpatient Clinic Chula Vista's specialty?

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

Active since August 13, 2007

644 NAPLES ST, CHULA VISTA, CA 91911(619) 744-5354(619) 744-5391 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

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About Tricare Outpatient Clinic Chula Vista NPPES

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

TRICARE OUTPATIENT CLINIC CHULA VISTA (NPI 1467644625) is a healthcare organization registered as a military/u.s. coast guard outpatient in Chula Vista, California and active in the NPI registry since August 2007. The organization lists William Michael Condon, Navy Medicine Ubo Program Manager, as its authorized official.

NPPES Registry Identity

NPI1467644625

Entity TypeOrganization

Primary Taxonomy261QM1100X

Legal Business NameTRICARE OUTPATIENT CLINIC CHULA VISTA

Location Address644 NAPLES STChula Vista, CA 91911-1636

Mailing Address34520 Bob Wilson DrSan Diego, CA 92134-2098 · (619) 532-6636 · Fax (619) 532-6645

Phone(619) 744-5354

Fax(619) 744-5391

Organization SubpartYesParent: Naval Medical Center San Diego

Authorized OfficialWilliam Michael CondonNavy Medicine Ubo Program Manager · (240) 401-3643

Enumeration DateAugust 13, 2007

Last NPPES UpdateApril 4, 20192 updates tracked since enumeration

✔ NPI 1467644625 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.

644 NAPLES ST, Chula Vista, CA 91911

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Other Providers at the Same Location NPPES 11

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

ANDREW J PASETTI D.O.

Family Medicine

644 NAPLES ST, TOC CHULA VISTA
CHULA VISTA, CA 91911

San Diego County (619) 766-5393

DR. PETER KHO MD

Military Health Care Provider