OrganizationActive
Branch Medical Clinic North Island
NPI 1679771133 · Military/U.S. Coast Guard Outpatient Clinic/Center · San Diego, CA
Provider details
- NPI number
- 1679771133
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Naval Medical Center San Diego
- Organization subpart
- Yes
- Authorized official
- William Condon, Navy Medicine Ubo Program Manager(240) 401-3643
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
34520 Bob Wilson Dr
San Diego, CA 92134-2098
Phone: (619) 532-6636
Approximate (ZIP-level) locationGet directions
Mailing address
601 Mccain Blvd.
Coronado, CA 92135
Registry dates
- Enumerated
- 2007-07-06
- Last updated
- 2019-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.