Intrepid Spirit Center
Intrepid Spirit Center is a healthcare organization registered as Military/U.S. Coast Guard Outpatient Clinic/Center in Camp Pendleton, CA, holding Type 2 (organization) NPI 1184187296 since 2019. The authorized official on file is William Condon, Ubo Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1184187296 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Intrepid Spirit Center |
| Parent organization | Naval Hospital Camp Pendleton |
| Practice address | 200 MERCY CIR, Camp Pendleton, CA, 92055 |
| Phone | 6197677000 |
| Enumeration date | 2019-04-08 |
| Last updated in NPPES | 2019-04-08 |
Authorized official
| Name | William Condon |
|---|---|
| Title | Ubo Manager |
| Phone | 2404013643 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Intrepid Spirit Center NPI: 1184187296 Taxonomy: 261QM1100X (Military/U.S. Coast Guard Outpatient Clinic/Center) Address: 200 MERCY CIR, Camp Pendleton, CA, 92055
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1265473474 | Jason Miller | Individual | Pain Medicine (Anesthesiology) Physician | Camp Pendleton, CA |
| 1730385899 | Scott Trask | Individual | Surgery Physician | Oceanside, CA |
| 1851527386 | Joshua Kuhn | Individual | Emergency Medicine Physician | Oceanside, CA |
| 1447587605 | Jacob Ribakoff | Individual | Medical Physician Assistant | Oceanside, CA |
| 1417248071 | Sheila Mulligan | Individual | Obstetrics & Gynecology Physician | Oceanside, CA |
| 1649558511 | Caleb Noordmans | Individual | General Practice Dentistry | Camp Pendleton, CA |
| 1861771024 | Carl Starr | Individual | Psychiatry Physician | Camp Pendleton, CA |
| 1811236318 | Daniel Kim | Individual | Clinical Social Worker | Camp Pendleton, CA |
Verify this record
Cross-check NPI 1184187296 against the authoritative CMS record: view Intrepid Spirit Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Intrepid Spirit Center located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-04-08.