SAMUEL SHALOV
Military Health Care Provider

Address: Naval Medical Center San Diego 38400 Bob Wilson Drive, San Diego, CA 92134-5000

SAMUEL SHALOV (NPI# 1154916062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154916062
Entity Type Individual
Full Name SAMUEL SHALOV
Gender Male
Credential MD
Practice Address Naval Medical Center San Diego 38400 Bob Wilson Drive
San Diego
CA 92134-5000
Practice Telephone 9083345339
Mailing Address Naval Medical Center San Diego 38400 Bob Wilson Drive
San Diego
CA 92134-5000
Mailing Telephone 9083345339
Certification Date 2021-03-02
Enumeration Date 2021-03-02
Last Update Date 2021-03-02
Is Sole Proprietor N

Taxonomy

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

Office Location

Street Address NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DRIVE
City SAN DIEGO
State CA
Zip Code 92134-5000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144727470 Michael John Rice Student in an Organized Health Care Education/Training Program Naval Medical Center San Diego 38400 Bob Wilson Drive, San Diego, CA 92134-0001 2018-04-12
1548855968 Saki Kitadai Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Drive, San Diego, CA 92134-0001 2021-03-08
1780279539 Francine Eva Noda Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Drive, San Diego, CA 92134-5000 2021-03-03
1538780432 Benjamin Nathaniel Burgess Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Drive, San Diego, CA 92134-5000 2020-05-01
1922636661 Joseph Chilbert Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Drive, San Diego, CA 92134-5000 2020-03-30
1669008124 Hampton Hastings Ocon Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Drive, San Diego, CA 92134-0001 2020-03-17
1144854142 Alexander Young Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Drive, San Diego, CA 92134-5000 2020-02-27
1235781964 Alexander Gregory Roegiers Student in an Organized Health Care Education/Training Program Naval Medical Center San Diego 38400 Bob Wilson Drive, San Diego, CA 92134-5000 2019-07-12
1881246510 Adam Lee Kane Student in an Organized Health Care Education/Training Program Naval Medical Center San Diego 38400 Bob Wilson Drive, San Diego, CA 92134-5000 2019-07-12
1245792845 Benjamin Eric Brier Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Drive, San Diego, CA 92134-5000 2019-04-02
Find all providers in the same address

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003401662 Nathaniel Whittington Foster Military Health Care Provider 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-05
1164037842 Frank Nketsiah Pharmacist Naval Medical Ctr 34800 Bob Wilson Drive, San Diego, CA 92134-5000 2020-09-10
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
1588292858 Korina Erin Sandoval Military Health Care Provider Naval Medical Center Drive 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2020-03-31
1114551496 Rachael D Campbell Military Health Care Provider 38400 Bob Wilson Drive, San Diego, CA 92134-5000 2020-02-26
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
1790262665 Dominique D'Anthony Dentist Naval Medical Center 34800 Bob Wilson Drive, San Diego, CA 92134-5000 2018-07-24
1245689033 Ryan Heasley Dentist 3480 Bob Wilson Dr, 3480 Bob Wilson Drive, San Diego, CA 92134-5000 2016-06-13
1558718676 Zachary W Landau Military Health Care Provider Naval Medica Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 2016-05-18
1316393838 David Lin Student in an Organized Health Care Education/Training Program Navy Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 2016-05-13
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1477178457 Joseph Hunter Sampson Military Health Care Provider · Independent Duty Corpsman 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
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
1255870333 Dosh Page Physician Assistant Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 2017-02-22
1417328063 Noem Clay Gallego Military Health Care Provider · Independent Duty Corpsman 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 2015-10-08
1174963532 Ryan Anders Crane Otolaryngology Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 2013-07-01
1447591268 Amy B. Cornell Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 2013-03-04
1164717740 Jason James Weiner Internal Medicine · Rheumatology Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 2011-06-13
1225320237 Kimberly Ann Thompson Student in an Organized Health Care Education/Training Program Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 2011-05-09
1043422652 Kellie Lynn Hamilton Military Health Care Provider · Independent Duty Corpsman Naval School of Health Sciences, 34101 Farenholt Ave, Bld 14, San Diego, CA 92134 2007-05-04
1437238987 Lynn J Vogelgesang Nurse Practitioner · Family Nmcsd, 34800 Bob Wilson Dr., San Diego, CA 92134 2006-11-03
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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

NPI Name Taxonomy Address Enumeration
1003401662 Nathaniel Whittington Foster 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-05
1679168488 Kristine Marie Kocjan 384oo Bob Wilson, San Diego, CA 92134-0001 2021-03-03
1386238210 Jeffrey Kalczynski Naval Medical San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-0001 2021-02-22
1629692389 Christopher Matey 34800 Bob Wilson Dr Ste 110, San Diego, CA 92134-1110 2020-05-29
1982225769 Jin Ah Kim Naval Medical Center San Diego 38400 Bon Wilson Drive, San Diego, CA 92134-5000 2020-05-03
1508495201 Benjamin Michael Taylor Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1033748959 Lydia Cam Truong Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-0001 2020-04-02
1588292858 Korina Erin Sandoval Naval Medical Center Drive 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2020-03-31
1033746508 Hannah Johnson 34800 Bob Wilson Dr Ste 403, San Diego, CA 92134-1403 2020-03-25
1114551496 Rachael D Campbell 38400 Bob Wilson Drive, San Diego, CA 92134-5000 2020-02-26
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92134

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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.

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