Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 13

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Independent Duty Corpsman Providers

NPI Name Type Address

1023143575

IDC Michael S Jimenez

Individual

754 Rambur St

Chula Vista, CA

1134352719

IDC Edinito Gulfan Purog

Individual

1888 Crossroads St

Chula Vista, CA

1821307612

IDC Reginald Alano Demapelis

Individual

1510 Circulo Brindisi

Chula Vista, CA

1477844280

MR. Alredo Chavez

Individual

2460 Steamboat Springs Ct.

Chula Vista, CA

1316225519

MR. SF IDC Edward John Ronquillo

Individual

1642 Hickory Nut Pl

Chula Vista, CA

1053690610

MR. IDC Justin Mel Millard

Individual

825 E Palomar St

Chula Vista, CA

1801232236

IDC Edgar N Ibay

Individual

1992 Caminito De La Cruz

Chula Vista, CA

1699107847

MR. SFIDC Enyichi Nathaniel Ndubueze

Individual

660 Gretchen Rd

Chula Vista, CA

1285059352

SFIDC Victoria Dodge

Individual

50 E Flower St Apt 76

Chula Vista, CA

1417376187

IDC Joshua Hervas

Individual

2710 Apricot Court

Chula Vista, CA

1821508003

Edgar Omar Garcia

Individual

454 E H St Apt 706

Chula Vista, CA

1306401245

MSO Virgilio Francisco Coloso

Individual

1745 Thompson Ave

Chula Vista, CA

1356902118

Paul Michael Isgar

Individual

1155 Calle Tesoro

Chula Vista, CA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 1710I1002X
Specialization Independent Duty Corpsman
Display Name Independent Duty Corpsman
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689