Military Health Care Provider Health Providers - CALIFORNIA - Page 2 of 7

171000000X - Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

List of 630 registered providers with a business address in California whose primary or secondary health provider taxonomy code is Military Health Care Provider, of which 6 are registered as organizations and 624 as individuals.

99% Individuals
1% Organizations
39% Female
60% Male
99% Individual Providers (624)1% Medical Organizations (6)39% Female Providers (248)60% Male Providers (375)

List of Providers

Provider Name Type AddressMedicarePECOS
ROBERT CHUNGIndividualNAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-9830
Non-Participating ProviderNO
CODY GARRETT CLAPPIndividualPO BOX 555191
CAMP PENDLETON, CA 92055
(760) 725-1356
Non-Participating ProviderYES
DARBY ANNETTE CLAYSONIndividual1900 SULLIVAN AVE LOWER LEVEL
DALY CITY, CA 94015
(415) 680-4135
Maybe Accepts MedicareYES
REINALDO EUGENIO COLON MORILLOIndividual34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
(619) 532-6400
Non-Participating ProviderNO
BEVERLY LYNN CONLEYIndividual6037 PRICE AVE
MCCLELLAN, CA 95652
(916) 561-7568
Non-Participating ProviderNO
MCKENNAN A COOKIndividual200 MERCY CIRCLE
OCEANSIDE, CA 92058
(719) 725-1288
Non-Participating ProviderNO
LEONARD REYNOLD COSTANTINIIndividualNAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
(619) 532-9795
Accepts MedicareYES
BRANDON MICHAEL COSTELLOIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-6474
Non-Participating ProviderYES
RYAN WILLIAM CRAIGIndividualNAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-7200
Non-Participating ProviderNO
MARY-KATE CRANEIndividualNAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR
SAN DIEGO, CA 92134
(617) 694-9052
Non-Participating ProviderNO
JONAH CREMIN-ENDESIndividualNAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-5761
Non-Participating ProviderNO
ALEJANDRO LUIS CUESTAIndividual200 MERCY CIR
OCEANSIDE, CA 92055
(760) 719-3675
Non-Participating ProviderNO
AARON MICHAEL CUSATOIndividualBLDG. 601, MCCAIN BLVD.
SAN DIEGO, CA 92135
(619) 545-6210
Non-Participating ProviderYES
AUSTIN ANDRE CUTTONEIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(559) 320-5071
Non-Participating ProviderNO
ASHLEY DALESSANDROIndividual101 BODIN CIR
TRAVIS AFB, CA 94535
(707) 423-5013
Non-Participating ProviderYES
JAMES ALEXANDER D'ANDREAIndividualNAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-8547
Non-Participating ProviderNO
MASON XUAN DANGIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-8943
Non-Participating ProviderNO
RACHEL DANIELLIndividualNAVAL HOSPITAL CAMP PENDLETON 200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
(760) 719-3364
Non-Participating ProviderYES
NICOLAS DANSCUKIndividual101 BODIN CIR
TRAVIS AFB, CA 94535
(707) 423-5224
Non-Participating ProviderYES
BETHANY DARLINGIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-6474
Non-Participating ProviderNO
DENNIS DATUINIndividualNAVAL MEDICAL CENTER TWENTYNINE PALMS 1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278
(760) 830-2117
Non-Participating ProviderYES
GARRETT BLAZE DEARINGIndividualBLDG 4130077 EAST MARSOC 1ST MARINE SPECIAL OPERATIONS BATALLION
CAMP PENDLETON, CA 92055
(760) 725-5298
Non-Participating ProviderNO
MARK JOHN DEBANOIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-6400
Non-Participating ProviderNO
CHRISTOPHER DEBARGEIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-6400
Non-Participating ProviderNO
CARLI MICHELLE DEITELIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-6700
Non-Participating ProviderNO
JOSEPH DELA VEGAIndividual361 3RD ST STE B
SAN RAFAEL, CA 94901
(415) 747-8178
Non-Participating ProviderNO
EMILY ROSE DELORIAIndividualNAVAL MEDICAL CTR 34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-6827
Non-Participating ProviderYES
SARA JEAN DEMERSIndividual2051 CUSHING RD
SAN DIEGO, CA 92106
(619) 524-5204
Non-Participating ProviderNO
COLE THOMAS DEMOULPIEDIndividual2587 OLD QUARRY RD UNIT 2232
SAN DIEGO, CA 92108
(231) 632-4574
Non-Participating ProviderNO
PIERCE DERICOIndividual1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278
(760) 830-2117
Non-Participating ProviderYES
NELSON DESOUZAIndividualNAVAL MEDICAL CTR 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
(619) 532-6827
Non-Participating ProviderNO
JOSEPH ANTHONY DIAZIndividual200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
(910) 574-7366
Non-Participating ProviderNO
MAGGIE DILLIONEIndividual38400 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 881-9169
Non-Participating ProviderNO
JACOB T. DINESIndividual1 ADMINISTRATION CIR # MS 1015
RIDGECREST, CA 93555
(760) 939-8063
Non-Participating ProviderYES
LANE DONALDSONIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-6400
Non-Participating ProviderYES
ZHIQIAO DONGIndividual2496 BAUER RD
SAN DIEGO, CA 92126
(619) 881-9011
Non-Participating ProviderNO
QUIDA DEBORAH DRAINEIndividual2740 S BRISTOL ST SUITE 110
SANTA ANA, CA 92704
(714) 825-3500
Non-Participating ProviderYES
DAVID DROZDAIndividualNAVAL MEDICAL CENTER 34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-9795
Non-Participating ProviderYES
KEVIN MICHAEL DUFFINIndividual38400 BOB WILSON DR
SAN DIEGO, CA 92134
(708) 945-5360
Non-Participating ProviderNO
JEFFREY DAVID DUNNIndividual101 BODIN CIR
FAIRFIELD, CA 94535
(720) 309-8233
Non-Participating ProviderNO
ALEXANDER P DUNNUMIndividual937 FRANKLIN BLVD
LEMOORE, CA 93246
(757) 953-5000
Non-Participating ProviderYES
GERALD PATRICK DURKANIndividual2496 BAUER RD
SAN DIEGO, CA 92126
(619) 881-9011
Non-Participating ProviderNO
KELLE DURRUAIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(760) 707-4761
Non-Participating ProviderNO
JARED RAY EDWARDSIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-8666
Non-Participating ProviderNO
BERNARDO ELIZONDOIndividualNAVAL SPECIAL WARFARE COMMAND 2000 TRIDENT WAY BLDG 624
SAN DIEGO, CA 92155
(619) 537-1171
Non-Participating ProviderYES
ISABELLE ELYIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-6400
Non-Participating ProviderNO
LUKE CHRISTIAN ENDICOTTIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(480) 721-6585
Non-Participating ProviderNO
PATRICK ENGELBERTIndividual34800 BOB WILSON DRIVE NAVAL MEDICAL CTR
SAN DIEGO, CA 92134
(619) 532-8547
Non-Participating ProviderYES
CALVIN JON ERICKSONIndividual38400 BOB WILSON DR
SAN DIEGO, CA 92134
(541) 975-3540
Non-Participating ProviderNO
ANDREW ERNSTIndividual200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
(760) 719-3436
Non-Participating ProviderYES
CASEY ERWINIndividual38400 BOB WILSON DR
SAN DIEGO, CA 92134
(708) 256-5042
Non-Participating ProviderNO
NANCY FADERIndividual106 THORN ST
SAN DIEGO, CA 92103
(619) 431-0046
Non-Participating ProviderNO
MARIE LOUISE FAGANIndividual4077 32ND ST APT 8
SAN DIEGO, CA 92104
(678) 764-4067
Non-Participating ProviderNO
JUANITA ELIZABETH FARFANIndividualNAVAL HOSPITAL CAMP PENDLETON FAMILY MEDICINE DEPT.
CAMP PENDLETON, CA 92055
(760) 719-3770
Non-Participating ProviderNO
MYRA LEE FEFFERIndividual16111 PLUMMER ST
SEPULVEDA, CA 91343
(818) 891-7711
Non-Participating ProviderYES
CHELSEY RHEYANN K FERNANDEZIndividual1 EAGLE RD
ALAMEDA, CA 94501
(510) 437-3981
Non-Participating ProviderNO
LUZ SANTIAGO FERRERIndividual323 E 24TH ST APT 202
NATIONAL CITY, CA 91950
(619) 474-2933
Non-Participating ProviderNO
AMBER ELAINE FERROIndividual2051 CUSHING RD
SAN DIEGO, CA 92106
(619) 524-0418
Non-Participating ProviderNO
DANIEL JOSEPH FINNINIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(760) 719-4966
Non-Participating ProviderYES
EMMA FISHERIndividual38400 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 881-9169
Non-Participating ProviderYES
MERLE C FISHMANIndividual11301 WILSHIRE BLVD BLDG 208, AR 116
LOS ANGELES, CA 90073
(310) 268-4062
Non-Participating ProviderNO
BRIAN PATRICK FITZGERALDIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-6400
Non-Participating ProviderNO
CHRISTIAN RICHARD FLOHRIndividual1498 13TH ST BLDG 193
IMPERIAL BEACH, CA 91932
(619) 437-9845
Non-Participating ProviderNO
SARAH AUSTEN FOGLEMANIndividualNAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR
SAN DIEGO, CA 92134
(401) 489-0505
Non-Participating ProviderNO
NATHANIEL WHITTINGTON FOSTERIndividualNMRTC CAMP PENDLETON 4TH FLOOR, RM 4172
CAMP PENDLETON, CA 92055
(760) 725-1288
Non-Participating ProviderNO
JENNIFER FOTIIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-6400
Non-Participating ProviderYES
THOMAS PATRICK FOXIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-7599
Non-Participating ProviderNO
COLLEEN FRANCONIIndividual38400 BOB WILSON DR
SAN DIEGO, CA 92134
(215) 510-8619
Non-Participating ProviderYES
NATHAN FRANSSENIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-5998
Non-Participating ProviderYES
AUSTIN DANIEL FRITZAIndividualNAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-5761
Non-Participating ProviderNO
AUSTIN DANIEL GABLEIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-8983
Non-Participating ProviderYES
JEAN RAYMOND GAGNEIndividual38400 BOB WILSON DR
SAN DIEGO, CA 92134
(917) 364-0183
Non-Participating ProviderNO
NOEM CLAY GALLEGOIndividual34101 BUILDING 14, FARENHOLT AVENUE
SAN DIEGO, CA 92134
(619) 532-9712
Non-Participating ProviderNO
PARIS MICHAEL GANDEEIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(808) 940-2620
Non-Participating ProviderNO
TAYLOR GANTIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-5761
Non-Participating ProviderNO
GARDNER FAMILY HEALTH NETWORK INC
GARDNER DOWNTOWN HEALTH CENTER
Organization725 E. SANTA CLARA STREET
SAN JOSE, CA 95112
(408) 918-2682
Non-Participating ProviderNO
RUSSELL LEE GARNERIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(501) 765-7783
Non-Participating ProviderNO
REID MACKENZIE GINTER GARNERIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-6400
Non-Participating ProviderNO
ANDREW R GARRETTIndividual34800 BOB WILSON DR INTERNAL MEDICINE
SAN DIEGO, CA 92134
(619) 532-9795
Accepts MedicareYES
EDWARD GASTEL-WARDELLIndividualNAVAL HOSPITAL TWENTYNINE PALMS 1145 STURGIS RD, BOX 788250
TWENTYNINE PALMS, CA 92278
(760) 830-2117
Non-Participating ProviderNO
ROBYN JOAN EUGENIO GAWLIKIndividualNAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR
SAN DIEGO, CA 92134
(714) 519-1078
Non-Participating ProviderNO
JOSEPH A GEHRZIndividualNAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
(619) 843-2863
Accepts MedicareYES
MARK GEMENDERIndividual2496 BAUER RD
SAN DIEGO, CA 92126
(619) 881-9011
Non-Participating ProviderNO
JAMES GILLIndividual2825 SHOUP DR
SAN DIEGO, CA 92110
(918) 605-1335
Non-Participating ProviderNO
DEREK JOSEPH GILLIndividual202 ISLAND AVE # 240
SAN DIEGO, CA 92101
(304) 222-3450
Non-Participating ProviderNO
ABDIAS BARBOSA GIRARDIIndividualNAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR
SAN DIEGO, CA 92134
(302) 604-4915
Non-Participating ProviderNO
PETER GLATTIndividualNAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR.
SAN DIEGO, CA 92134
(619) 760-7268
Non-Participating ProviderNO
KELLEN JAMES GLYNNIndividual1546 6TH STREET
TWENTYNINE PALMS, CA 92277
(760) 830-2621
Non-Participating ProviderNO
DANA GOLDENIndividual1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
(916) 781-1141
Non-Participating ProviderNO
MACKINELY GOLDTHWAITEIndividual34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
(619) 532-7968
Non-Participating ProviderNO
CHRISTOPHER GOLJANIndividualNAVAL MEDICAL CTR 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
(619) 532-7599
Non-Participating ProviderNO
CONAN JOYCE GONZALEZIndividual1145 STURGIS ROAD
TWENTYNINE PALMS, CA 92278
(760) 830-2558
Non-Participating ProviderNO
XENIA BRIANNA GONZALEZIndividual101 BODIN CIR
TRAVIS AFB, CA 94535
(707) 423-7959
Non-Participating ProviderYES
ALEC GOODIndividual15301 WARREN SHINGLE RD
BEALE AFB, CA 95903
(530) 634-4662
Non-Participating ProviderNO
SAMANTHA KELLY GORDONIndividualNAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DRIVE
SAN DIEGO, CA 92134
(760) 809-6315
Non-Participating ProviderNO
WALTER H GOULDIndividualCOAST GUARD INTEGRATED SUPPORT COMMAND BLD1
ALAMEDA, CA 94501
(510) 437-3614
Non-Participating ProviderNO
REGINALD GRANGERIndividual34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
(619) 532-7968
Non-Participating ProviderNO
KRISTINA GREENIndividual34800 BOB WILSON DR
SAN DIEGO, CA 92134
(740) 816-2856
Non-Participating ProviderNO

Showing page 2 of 7. The results table displays up to 100 results per page and is sorted by last name / organization name.

Individual Female Provider | Individual Male Provider | Medical Organization