BRANCH MEDICAL CLINIC EDSON RANGE
NPI 1912100983
Clinic/Center - Military/U.S. Coast Guard Outpatient in Camp Pendleton, CA

Active since June 07, 2007
STUART MESA RD, BLDG 310514, BOX 555191, CAMP PENDLETON, CA 92055(760) 725-1621(760) 725-1661 Get Directions Write a Review

NPPES record last updated: October 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Branch Medical Clinic Edson Range NPPES

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

BRANCH MEDICAL CLINIC EDSON RANGE (NPI 1912100983) is a healthcare organization registered as a military/u.s. coast guard outpatient in Camp Pendleton, California and active in the NPI registry since June 2007. The organization lists William M Condon, Bumed Ubo, as its authorized official.

NPPES Registry Identity

NPI1912100983
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameBRANCH MEDICAL CLINIC EDSON RANGE
Location AddressSTUART MESA RD, BLDG 310514, BOX 555191Camp Pendleton, CA 92055-5191
Mailing AddressPo Box 555191, Fin Mgmt Code 0814Camp Pendleton, CA 92055-5191 · (760) 725-1621 · Fax (760) 725-1661
Fax(760) 725-1661
Organization SubpartYesParent: Naval Hospital Camp Pendelton
Authorized OfficialWilliam M CondonBumed Ubo · (240) 401-3643
Enumeration DateJune 7, 2007
Last NPPES UpdateOctober 16, 2017
NPI 1912100983 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.
STUART MESA RD, BLDG 310514, Camp Pendleton, CA 92055

Other Identifiers 1

Other1386604387CA · Parent Facility Npi

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 Branch Medical Clinic Edson Range's NPI number?

The NPI number for Branch Medical Clinic Edson Range is 1912100983. It was assigned to this organization in the NPPES registry on June 7, 2007.

Where is Branch Medical Clinic Edson Range located?

Branch Medical Clinic Edson Range is located at Stuart Mesa Rd, Bldg 310514 Box 555191, Camp Pendleton, CA 92055. The listed phone number is (760) 725-1621.

What is Branch Medical Clinic Edson Range'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 Branch Medical Clinic Edson Range was last updated on October 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.