| Organization, Name | Practice Address | Practice Phone | Taxonomy | NPI |
| Ade, Pauline | 5930 Adobe Rd Twentynine Palms CA 92277-2356 | 760-367-1743 | 225200000X | 1023505393 |
| Aldrich, Dianne J. Devoll FNP, CNM | Naval Hospital Attn Professional Affairs Magtftc Mcagcc Box 788250 Twentynine Palms CA 92278-8250 | 760-830-2188 | 163W00000X | 1881674596 |
| Apeland, Erric Leif IDC | 1436 Third Street Mcagcc Twentynine Palms CA 92278 | 460-830-5929 | 1710I1002X | 1730583063 |
| Archambault, Raoul Iv PHARMD | 1145 Sturgis Street Naval Hospital (attn Professional Affairs) Twentynine Palms CA 92278-8250 | 760-830-2135 | 183500000X | 1962550657 |
| Arhart, Kesley AUD | 1145 Sturgis Road Twentynine Palms CA 92278 | 760-860-2190 | 231H00000X | 1750041687 |
| Avalos, Alexandria LCSW | 1145 Sturgis Road Twentynine Palms CA 92278-8275 | 760-830-2117 | 101Y00000X | 1346781119 |
| Banawa, Mrs. Dianne Kristine Tablan | 72253 Twentynine Palms Highway Twentynine Palms CA 92277 | 760-367-3262 | 183500000X | 1003164963 |
| Barley, Kristina Grim MD | Naval Hospital Twentynine Palms 1145 Sturgis Road Twentynine Palms CA 92278 | 760-830-2752 | 207Q00000X | 1891145462 |
| Barrett, Ms. Carol Ann PHARMACIST | Naval Hospital Magtftc Mcagcc Affairs Attn Professional Twentynine Palms CA 92278-8250 | 760-830-2137 | 183500000X | 1912977398 |
| OTHER CA PHARMACY LICENSE : 25769 |
| Bellavia, Joshua | Commanding Officer Naval Hospital Twentynine Palms Attn: Joshua Bellavia Box 788250 Twentynine Palms CA 92278 | 760-830-2190 | 1710I1002X | 1427441112 |
| Benton-hayden, Mrs. Nicole MAOC, CSAC, CPS, CCS | 1020 Palm Ct # B Twentynine Palms CA 92277-5029 | 808-256-0399 | 101YM0800X | 1811522915 |
| Bertini, Mrs. Laurel Jeanne COTA | 5930 Adobe Rd Twentynine Palms CA 92277 | 760-367-1743 | 224Z00000X | 1114461381 |
| Best, Ms. Mary LCSW | 5430 Jade Lane Twentynine Palms CA 92277 | 301-538-7549 | 1041C0700X | 1447420609 |
| Bird, Corbin PA-C | 1546 6th Street Twentynine Palms CA 92277 | 760-830-2600 | 208D00000X | 1043844046 |
| Bird, Mr. David Robert MPAS, PA-C | Bldg 1145 Sturgis Street Naval Hospital Attn Professional Affairs Twentynine Palms CA 92278-8250 | 760-939-0685 | 363A00000X | 1912969205 |
| Borja, Charmaine E PT, DPT | 5930 Adobe Rd Twentynine Palms CA 92277-2356 | 760-367-1743 | 2251X0800X | 1578823779 |
| Boucher, Dr. Wayne Charles PSY.D, ABPP | Robert E Bush Naval Hosptial Magtftc Mcagcc Twentynine Palms CA 92278-8250 | 760-830-2935 | 103TC0700X | 1093794372 |
| Boudreaux, Dr. Amanda Faye AUD | 1145 Sturgis Road Twentynine Palms CA 92278 | 760-830-2850 | 231H00000X | 1013281765 |
| Bowman, Paige M.D. | 1145 Sturgis Rd Twentynine Palms CA 92277 | 760-830-2752 | 207Q00000X | 1710339239 |
| Bristow, Janet Erin FNP-C, WHNP-BC, RN | 1145 Sturgis Rd Twentynine Palms CA 92284-9228 | 760-830-2190 | 363LW0102X | 1700361607 |
| OTHER AZ NURSE PRACTITIONER LICENSE : 259440 |
| Burdick, Grayson Reilly PA-C | 7345 Maude Adams Ave Twentynine Palms CA 92277-3837 | 203-232-8357 | 390200000X | 1720653710 |
| Burns, Sarah Joy | 5930 Adobe Rd Twentynine Palms CA 92277-2356 | 760-367-1743 | 235Z00000X | 1659854180 |
| Caunan, Dr. Kalvin Wang DO | Mcmh Twentynine Palms Twentynine Palms CA 92278 | 760-830-2083 | 208D00000X | 1790306769 |
| OTHER FL STUDENT IN AN ORGANIZED HEALTHCARE EDUCATION/TRAINING PROGRAM : 390200000X |
| Chao, George DDS | 1591 Griffin Road Twentynine Palms CA 92278 | 760-830-7054 | 122300000X | 1144797358 |
| OTHER CA DENTAL BOARD OF CALIFORNIA : DDS102610 |
| Chavez, Mrs. Jessica Sue PTA | 5930 Adobe Rd Twentynine Palms CA 92277-2356 | 760-367-1743 | 225200000X | 1023294121 |
| Cheng, Dr. Jacky Pozen MD | Bldg 1145 Sturgis Street Magtftc Mcagcc Twentynine Palms CA 92278-8250 | 760-830-2227 | 207V00000X | 1609852300 |
| Cherry, Dr. Darren C DO | Mwss-374 Mcagcc 29 Palms Twentynine Palms CA 92278-8285 | 760-830-7475 | 208D00000X | 1124173729 |
| Choi, Miesoo RPH | 72253 Twentynine Palms Highway Twentynine Palms CA 92277 | 760-367-3262 | 183500000X | 1902331762 |
| Chowdhury, Golam Subhani PA-C | 1st Marine Division 7th Marine Regiment Twentynine Palms CA 92277 | 760-830-6000 | 363A00000X | 1861961955 |
| Chung, Sang Hoon DMD | 1591 Griffin Road Twentynine Palms CA 92278-0000 | 760-830-7054 | 1223G0001X | 1780195933 |
| OTHER WA DENTIST LICENSE : DE60775907 |
| Clevenger, Jordan Alexander DPT | 5930 Adobe Rd Twentynine Palms CA 92277-2356 | 760-367-1743 | 225100000X | 1164076568 |
| Conboy, Mr. Christopher Lee P.A.-C | 1145 Sturgis Rd. Naval Hospital Twentynine Palms Twentynine Palms CA 92278-1831 | 760-830-2621 | 363A00000X | 1356629810 |
| Contangelo, Ms. Deandra Leigh M.S. ED., CF-SLP | 5930 Adobe Rd Twentynine Palms CA 92277-2356 | 760-367-1743 | 235Z00000X | 1013566793 |
| Cook, Dr. Jerald Lee M.D. | 1145 Sturgis Rd Naval Hospital Twentynine Palms Twentynine Palms CA 92278 | 760-830-2002 | 2083P0500X | 1851551816 |
| Cooper, Kayla Marie MOT, OTR/L | 74071 Playa Vista Dr Twentynine Palms CA 92277-1843 | 573-239-2035 | 225X00000X | 1407422736 |
| Corales, Mrs. Elizabeth Ann OTR/L | 1145 Sturgis Rd. Twentynine Palms CA 92278-8275 | 760-830-2117 | 225X00000X | 1316932593 |
| Crawford, Willie J. Jr. | 1145 Sturgis Rd Twentynine Palms CA 92278 | 760-830-2621 | 1710I1002X | 1366646317 |
| Crites, Crystal MPT | 5930 Adobe Rd Twentynine Palms CA 92277-2356 | 760-367-1743 | 225100000X | 1144367301 |
| MEDICAID CA : PT0274870 || OTHER CA BLUE SHIELD : 0PT274870 || OTHER CA TRICARE : 72157585392277A008 |
| Crow, Mr. Ian J PA-C | 3521a Cannon Dr Twentynine Palms CA 92277-9470 | 530-339-2347 | 1710I1002X | 1649227307 |
| Cuny, Nathan Michael MS/CCC-SLP | 5930 Adobe Rd Twentynine Palms CA 92277-2356 | 760-367-1743 | 235Z00000X | 1154993525 |
| Dalton, Omar Kareem | 1145 Sturgis Rd Twentynine Palms CA 92278 | 760-830-2190 | 1710I1002X | 1336669415 |
| Daniels, Andrea | 5930 Adobe Rd Twentynine Palms CA 92277-2356 | 760-367-1743 | 2355S0801X | 1285014324 |
| Danser, Mrs. Sarah COTA | 5930 Adobe Rd Twentynine Palms CA 92277-2356 | 760-367-1743 | 224Z00000X | 1992120836 |
| Davis, Dr. James Elbert AU.D. | 1145 Sturgis Rd Twentynine Palms CA 92278-8275 | 760-830-2117 | 231H00000X | 1538143334 |
| OTHER HI AUDIOLOGY STATE LICENSE : AUD 112 |
| De Ausen Santos, Gretchen Ordonez MSN, NP-C | 8077 Sand Hill Rd Apt E Twentynine Palms CA 92277-5515 | 562-292-9039 | 363L00000X | 1831866516 |
| Debord, Mrs. Shelby Tiffany | 73973 Two Mile Rd Apt 154 Twentynine Palms CA 92277-4620 | 925-813-4517 | 104100000X | 1649761347 |
| Devine, Dr. Timothy Joseph M.D. | Naval Hospital 29 Palms Twentynine Palms CA 92278 | 760-830-2190 | 207R00000X | 1316918634 |
| Diemart, Jennifer M.A. | 5930 Adobe Rd Twentynine Palms CA 92277-2356 | 760-367-1743 | 235Z00000X | 1043484850 |
| Dilgard, John CRNA | 1145 Sturgis Rd Twentynine Palms CA 92278 | 208-284-6154 | 367500000X | 1346913928 |
| Drilon, Mikhailpietro | 3rd Lar Battalion Twentynine Palms CA 92278-8272 | 760-830-2558 | 1710I1002X | 1023554532 |
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