MICHAEL GRODEN
Military Health Care Provider

Address: 34800 Bob Wilson Dr, San Diego, CA 92134-5000

MICHAEL GRODEN (NPI# 1598350522) 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) 1598350522
Entity Type Individual
Full Name MICHAEL GRODEN
Gender Male
Practice Address 34800 Bob Wilson Dr
San Diego
CA 92134-5000
Practice Telephone 6198819169
Mailing Address 34800 Bob Wilson Dr
San Diego
CA 92134-5000
Mailing Telephone 6198819169
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 34800 BOB WILSON DR
City SAN DIEGO
State CA
Zip Code 92134-5000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437744216 Adam Howell Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2021-03-04
1386239101 Alex Pazevic Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-03
1750976569 Samuel Billingslea Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2021-03-03
1891389888 Loren Robert Dukate Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-0001 2021-02-22
1780277194 Avery William Johnson Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2021-02-17
1346833803 Kevin Fordyce Andringa Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-5000 2021-02-16
1902499395 Stephanie Ye Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-5000 2021-02-16
1992398382 Andrew Boice White Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-5000 2021-02-16
1104419704 Josefina Manriquez-Castillo Dental Hygienist 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2021-02-15
1144813932 Amanda Lu Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2021-02-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295320653 Naran Spencer Lodhia Military Health Care Provider 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-07
1487249850 Kristin Bala Military Health Care Provider Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-07
1366037814 Donel Starr Kelly Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-06
1487249926 Bradley James Ulis Military Health Care Provider Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-06
1003401662 Nathaniel Whittington Foster Military Health Care Provider 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-05
1154916740 William Thomas Yokeley Jr. Military Health Care Provider Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-5000 2021-03-04
1235724816 Kasey Garrett Military Health Care Provider Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-04
1245825033 Stephanie Ha Military Health Care Provider 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-04
1447845128 Margaret Nettleton Military Health Care Provider 38400 Bob Wilson Drive, San Diego, CA 92134-5000 2021-03-04
1750976403 Kody Michael Kleinrichert Military Health Care Provider 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-04
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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
1669039798 Coy Dylan Parker Military Health Care Provider · Independent Duty Corpsman Surface Warfare Medical Institute, 34101 Farenholt Ave, San Diego, CA 92134 2019-05-23
1508352089 Benjamin Hwang Dentist Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 92134 2018-07-08
1326563982 Tommy Lee Turtle Military Health Care Provider · Independent Duty Corpsman 34101 Farenholt Ave, Building 14, San Diego, CA 92134 2017-08-04
1568992287 Amanda Lynne Wojahn Military Health Care Provider Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134 2017-06-14
1902333990 Preston Beck Student in an Organized Health Care Education/Training Program Naval Medical Center San Diego, Fpo, AA 92134 2017-05-22
1255870333 Dosh Page Physician Assistant Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 2017-02-22
1528500469 Eloy Rodriguez II Military Health Care Provider · Independent Duty Corpsman 34101 Farenholt Ave, San Diego, CA 92134 2016-11-09
1447610431 Ricardo Alejandro Ortiz Jr. Military Health Care Provider · Independent Duty Corpsman Naval Medical Center San Diego, 34800 Bob Wilson Dr., San Diego, CA 92134 2016-03-03
Find all providers in zip 92134

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
1295320653 Naran Spencer Lodhia 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-07
1487249850 Kristin Bala Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-07
1366037814 Donel Starr Kelly Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-06
1487249926 Bradley James Ulis Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-06
1710572276 Nicole Lee Hadler Naval Medical Center San Diego 34800 Bob Wilson Dr, San Diego, CA 92134-0001 2021-03-06
1003401662 Nathaniel Whittington Foster 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-05
1154916740 William Thomas Yokeley Jr. Naval Medical Center San Diego 34800 Bob Wilson Drive, San Diego, CA 92134-5000 2021-03-04
1235724816 Kasey Garrett Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-04
1245825033 Stephanie Ha 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2021-03-04
1437744216 Adam Howell 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2021-03-04
Find all providers in SAN DIEGO

Competitor

Search similar providers

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.