MEDICARE: JAMES GILL DEEP SEA DIVING IDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171000000X	Military Health Care Provider

General Provider Information

NPI Number	:	1295298172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES GILL DEEP SEA DIVING IDC

Provider Business Mailing Address
First Line	:	2825 SHOUP DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-4866
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2825 SHOUP DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-4866
Country	:	US
Telephone Number	:	918-605-1335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2019
Last Update Date	:	04/09/2019

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1518960442 — DR. MARC DANIEL PECHA M.D.
Practice Location Address:

2701 BABCOCK RD , STE A
SAN ANTONIO, TX
78229-4866

Practice Phone: 210-614-3225
Practice Fax:

1841293776 — DR. CHAULA JAYANT RANA M.D.
Practice Location Address:

2701 BABCOCK RD , STE A
SAN ANTONIO, TX
78229-4866

Practice Phone: 210-614-3225
Practice Fax:

1164425765 — DR. JOSE ALFREDO SANTOS M.D.
Practice Location Address:

2701 BABCOCK RD , STE A
SAN ANTONIO, TX
78229-4866

Practice Phone: 210-614-3225
Practice Fax:

1861495467 — DR. JAHNAVI RANA MANOCHA M.D.
Practice Location Address:

2701 BABCOCK RD , STE A
SAN ANTONIO, TX
78229-4866

Practice Phone: 210-614-3225
Practice Fax:

1336725589 — MRS. ARLENE HINOJOSA BRAZELL AGACNP-BC
Practice Location Address:

2701 BABCOCK RD STE A
SAN ANTONIO, TX
78229-4866

Practice Phone: 210-558-1800
Practice Fax:

Directions to “ JAMES GILL DEEP SEA DIVING IDC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.