Darion Pegues
Military Health Care Provider

Address: 3530 Kelsey St, San Diego, CA 92124-3516
Phone: 9018644770

Darion Pegues (NPI# 1992366587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1992366587
Entity Type Individual
Full Name Darion Pegues
Gender Male
Practice Address 3530 Kelsey St
San Diego
CA 92124-3516
Practice Telephone 9018644770
Mailing Address 3530 Kelsey St
San Diego
CA 92124-3516
Mailing Telephone 9018644770
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-06-24
Last Update Date 2019-06-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 171000000X Military Health Care Provider Other Service Providers

Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Notes: [7/1/2005: new]

Providers in the same taxonomy and city

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1982225769 Jin Ah Kim Military Health Care Provider Naval Medical Center San Diego 38400 Bon Wilson Drive, San Diego, CA 92134-5000 2020-05-03
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1588292858 Korina Erin Sandoval Military Health Care Provider Naval Medical Center Drive 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2020-03-31
1033746508 Hannah Johnson Military Health Care Provider 34800 Bob Wilson Dr Ste 403, San Diego, CA 92134-1403 2020-03-25
1083275762 Tyler Bradshaw Thompson Military Health Care Provider 34, Farenholt Ave, San Diego, CA 92134-0001 2019-06-24
1558924274 Nathan Alley-byrd Military Health Care Provider Navy Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-0001 2019-04-18
1013570290 Mckennan A Cook Military Health Care Provider Nmcsd 34800 Bob Wilson Drive, San Diego, CA 92134-3300 2019-04-15
1295298172 James Gill Military Health Care Provider 2825 Shoup Dr, San Diego, CA 92110-4866 2019-04-09
1093274201 Bj Zhou Osterberger Military Health Care Provider Naval Medical Center San Diego 3400 Bob Wilson Drive, San Diego, CA 92134-5000 2019-03-18
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Office Location

Street Address 3530 KELSEY ST
City SAN DIEGO
State CA
Zip Code 92124-3516

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780150334 Paullette Michelle Rosette Marriage & Family Therapist 5421 Escarchosa Lane, San Diego, CA 92124 2018-10-22
1699253179 Laura Lychelle Kime Behavior Analyst 4256 Tambor Ct, San Diego, CA 92124 2018-08-06
1720506850 Jonathan Jacobs Military Health Care Provider 3064 Taussig St, San Diego, CA 92124 2017-09-08
1346552064 Jeffrey Thomas Gilbert Military Health Care Provider 3841 Colina Dorado Dr, Apartment G108, San Diego, CA 92124 2010-07-10
1023334158 Billy L Fuson Jr. Military Health Care Provider 6656 Antigua Blvd, San Diego, CA 92124 2010-04-14
1386866473 Ephraim J. Tabornal, Dds, Inc. Dentist 10850 Baroque Lane, Suite C, San Diego, CA 92124 2007-05-02
1538255245 Lisa Anne Hazlewood-hunt Psychologist 11770 Bernardo Plaza Ct. Suite 260, San Diego, CA 92124 2006-10-04
1740393586 Brian L Mcdonald Physical Therapist 5950 Santo Road, Suite D, San Diego, CA 92124 2006-08-16
1003820614 Eileen Louise Holman Social Worker 6586 Ambrosia Drive, #5204, San Diego, CA 92124 2006-07-28
1063738920 Amanda Baker Grau Dentist 10715 Tierrasanta Blvd, San Diego, CA 92124 2010-04-15
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Competitor

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City SAN DIEGO
Zip Code 92124

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.