LOGAN TIMOTHY PETERSCHMIDT HOSPITAL CORPSMAN
NPI 1962916841
Military Health Care Provider in San Diego, CA

Active since November 29, 2017
2051 CUSHING RD, SAN DIEGO, CA 92106(619) 524-0418 Get Directions Write a Review

NPPES record last updated: November 29, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Logan Timothy Peterschmidt Hospital Corpsman NPPES

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

LOGAN TIMOTHY PETERSCHMIDT HOSPITAL CORPSMAN (NPI 1962916841) is an individual military health care provider provider in San Diego, California and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1962916841
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameLOGAN TIMOTHY PETERSCHMIDTCredential: HOSPITAL CORPSMAN
Location Address2051 CUSHING RDSan Diego, CA 92106-6173
Mailing Address2051 Cushing RdSan Diego, CA 92106-6173
Sole ProprietorNo
Enumeration DateNovember 29, 2017
NPI 1962916841 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.

2051 CUSHING RD, San Diego, CA 92106

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
2051 CUSHING RD
SAN DIEGO, CA 92106
Family Medicine
2051 CUSHING RD
SAN DIEGO, CA 92106
Physician Assistant (Medical)
2051 CUSHING RD
SAN DIEGO, CA 92106
Military Health Care Provider
2051 CUSHING RD
SAN DIEGO, CA 92106
Military Hospital
2051 CUSHING RD
SAN DIEGO, CA 92106
Military Health Care Provider (Independent Duty Corpsman)
2051 CUSHING RD
SAN DIEGO, CA 92106
Contractor
2051 CUSHING RD
SAN DIEGO, CA 92106
Military Health Care Provider
2051 CUSHING RD
SAN DIEGO, CA 92106
Audiologist
2051 CUSHING RD
SAN DIEGO, CA 92106
Military Health Care Provider (Independent Duty Corpsman)
2051 CUSHING RD
SAN DIEGO, CA 92106
Contractor
2051 CUSHING RD, NAVAL BRANCH HEALTH CLINIC, NTC
SAN DIEGO, CA 92106
Military Health Care Provider (Independent Duty Corpsman)
2051 CUSHING RD
SAN DIEGO, CA 92106
Licensed Vocational Nurse
2051 CUSHING RD
SAN DIEGO, CA 92106
Licensed Vocational Nurse
2051 CUSHING RD
SAN DIEGO, CA 92106
Physician Assistant
2051 CUSHING RD
SAN DIEGO, CA 92106
Optometrist
2051 CUSHING RD
SAN DIEGO, CA 92106
Military Hospital
2051 CUSHING RD
SAN DIEGO, CA 92106
Internal Medicine (Allergy & Immunology)
2051 CUSHING RD
SAN DIEGO, CA 92106
Nurse Practitioner (Family)
2051 CUSHING RD
SAN DIEGO, CA 92106
Physical Therapist (Electrophysiology, Clinical)
2051 CUSHING RD
SAN DIEGO, CA 92106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962916841, enumerated as an "individual" on November 29, 2017.

The provider is located at 2051 CUSHING RD SAN DIEGO, CA 92106 and the phone number is (619) 524-0418.

Military Health Care Provider with taxonomy code 171000000X.