TRICARE OUTPATIENT CLINIC CLAIREMONT – NPI #1922206853
Clinic/Center

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.

Health Care Provider Taxonomy Code for Clinic/Center

TRICARE OUTPATIENT CLINIC CLAIREMONT is an AHC clinic located in SAN DIEGO, CA. NPPES has assigned the NPI number 1922206853 to TRICARE OUTPATIENT CLINIC CLAIREMONT on July 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient

The NPI profile was previously updated about 7 years ago on Apr 04, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRICARE OUTPATIENT CLINIC CLAIREMONT below.

NPI Profile for
TRICARE OUTPATIENT CLINIC CLAIREMONT

NPI Number
1922206853
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRICARE OUTPATIENT CLINIC CLAIREMONT
Primary location
8808 BALBOA AVE
SAN DIEGO, CA 92123-1592
Phone: (619) 645-0169 Fax: (619) 645-0193
Mailing address
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone: (619) 645-0169 Fax:
Organization Subpart
Yes - TRICARE OUTPATIENT CLINIC CLAIREMONT is subpart of another organization.
Authorized Official
WILLIAM CONDON
NAVY MEDICINE UBO PROGRAM MANAGER
Phone: (240) 401-3643
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1100X
- Clinic/Center / Military/U.S. Coast Guard Outpatient (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.