Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 7
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Gilbert Ruiz Barrera JR. |
Individual |
314a Smith Ln San Clemente, CA |
|
|
MR. SOIDC Patrick Brian Quill |
Individual |
553a Howard Ln San Clemente, CA |
|
|
Ray Allen Banda |
Individual |
644a Puller Pl San Clemente, CA |
|
|
SOIDC Scott Andrew Kelly |
Individual |
242 Avenida Pelayo Unit A San Clemente, CA |
|
|
SOIDC Salvador Cervantes |
Individual |
275 Meadowlark Dr San Clemente, CA |
|
|
IDC Simon Pedro Trujillo |
Individual |
85 Sandpiper Ave San Clemente, CA |
|
|
IDC Jorge Luis Silva |
Individual |
118 Sandpiper Ave San Clemente, 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...
| 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 |