Healthcare Provider Details

I. General information

NPI: 1538505706
Provider Name (Legal Business Name): JAMES K WRITER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2013
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MERCY CIRCLE NHCP SPORTS MEDICINE / FAMILY MEDICINE DEPARTMENT
CAMP PENDLETON CA
92055
US

IV. Provider business mailing address

200 MERCY CIR NHCP SPORTS MEDICINE / FAMILY MEDICINE DEPARTMENT
CAMP PENDLETON CA
92055
US

V. Phone/Fax

Practice location:
  • Phone: 360-475-4379
  • Fax:
Mailing address:
  • Phone: 760-725-4379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101258851
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: