CMS-1500 Box 24J / 33a • NPI
1467413773
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
286500000X (CMS A0[7])
Licensed & Credentialed Hospitals — Military Hospital
Box 32 Service Location & ZIP+4
31 NIGHTINGALE RD, BLDG 5513, EDWARDS AFB, CA, 93524-0001
✓ 9-Digit EDI 837 ZIP+4 (93524-0001)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1467413773 (USAF 95MDOS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1467413773 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | USAF 95MDOS |
| Plain-English Specialty | Licensed & Credentialed Hospitals — Military Hospital NUCC Code: 286500000X (Military Hospital) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 31 NIGHTINGALE RD, BLDG 5513, EDWARDS AFB, CA, 93524-0001 |
| Practice Telephone / Fax | Tel: (661) 277-2872 |
| Administrative Mailing Address | 4211 W 1ST ST, SANTA ANA, CA, 92703-4023 |
| Enumeration & Last Sync | Enumerated: 2006-03-28 | CMS Record Updated: 2020-08-22 |
| Authorized Official | CHRISTIAN PHAM (General Dentist) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (286500000X)
What Does Taxonomy Code 286500000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 286500000X translates to:
"Licensed & Credentialed Hospitals — Military Hospital"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (USAF 95MDOS)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
286500000X — Military HospitalPlain English: Licensed & Credentialed Hospitals — Military Hospital | State: MA | License: 21258 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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