BRANCH MEDICAL CLINIC EASTLAKE
NPI 1568865319
Clinic/Center - Military/U.S. Coast Guard Outpatient in Chula Vista, CA

Active since October 07, 2014
2300 BOSWELL RD, SUITE 190, CHULA VISTA, CA 91914(619) 744-5355 Get Directions Write a Review

NPPES record last updated: November 24, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Branch Medical Clinic Eastlake NPPES

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

BRANCH MEDICAL CLINIC EASTLAKE (NPI 1568865319) is a healthcare organization registered as a military/u.s. coast guard outpatient in Chula Vista, California and active in the NPI registry since October 2014. The organization lists William M Condon, Bumed Ubo, as its authorized official.

NPPES Registry Identity

NPI1568865319
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameBRANCH MEDICAL CLINIC EASTLAKE
Location Address2300 BOSWELL RD, SUITE 190Chula Vista, CA 91914-3523
Mailing Address2300 Boswell Rd, Suite 190Chula Vista, CA 91914-3523 · (619) 744-5355
Organization SubpartYesParent: Naval Medical Center San Diego
Authorized OfficialWilliam M CondonBumed Ubo · (240) 401-3643
Enumeration DateOctober 7, 2014
Last NPPES UpdateNovember 24, 2017
NPI 1568865319 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.

2300 BOSWELL RD, Chula Vista, CA 91914

Other Providers at the Same Location NPPES 10

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

Family Medicine
2300 BOSWELL RD, STE 190
CHULA VISTA, CA 91914
Clinic/Center (Mental Health (Including Community Mental Health Center))
2300 BOSWELL RD
CHULA VISTA, CA 91914
Behavior Technician
2300 BOSWELL RD
CHULA VISTA, CA 91914
Behavior Technician
2300 BOSWELL RD
CHULA VISTA, CA 91914
Behavior Technician
2300 BOSWELL RD
CHULA VISTA, CA 91914
Behavior Technician
2300 BOSWELL RD
CHULA VISTA, CA 91914
Military/U.S. Coast Guard Pharmacy
2300 BOSWELL RD, SUITE 190
CHULA VISTA, CA 91914
Behavior Technician
2300 BOSWELL RD
CHULA VISTA, CA 91914

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568865319, enumerated as an "organization" on October 07, 2014.

The provider is located at 2300 BOSWELL RD SUITE 190 CHULA VISTA, CA 91914 and the phone number is (619) 744-5355.

Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.