| NPI | Name | Type | Address |
|---|---|---|---|
|
MRS. IDC Kristilynn Badillo |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Oliver Hipolito Banal |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Amiel I Fredeluces |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Anderson Strickland |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Ismael Flores |
Individual |
Pcu Michael Murphy 3380 Sturtevant St Suite 2 San Diego, CA |
|
|
SFIDC Sean Patrick Mchugh |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
SFIDC Rion O'nay Tyler |
Individual |
Surface Warfare Medicine Institute 34101 Ave Building 14 San Diego, CA |
|
|
MS. IDC Socorro Ramirez Huynh |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Heather Lynne Eisenhardt |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC John Curtis Crockett |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Robert Bishop Beedles JR. |
Individual |
3380 Sturtevant St Bldg 57 Second Floor San Diego, CA |
|
|
MR. IDC Nicholas Michael Lee |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
SWIDC Christian T. Hans |
Individual |
6115 Fauna Dr San Diego, CA |
|
|
MS. IDC Courtney Latrice Johnson |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Castor Jose Gutierrez |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Mitchel Grande Deguzman |
Individual |
34101 Farenholt Ave Building 14 San Diego, CA |
|
|
MISS IDC Shavion Bates |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Amy E Clewis |
Individual |
3920 Leland St Apt F3 San Diego, CA |
|
|
IDC Jose Alberto Rodriguez |
Individual |
33000 Nixie Way Bldg 50 Suite 245 San Diego, CA |
|
|
IDC Daniel Williams |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
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 |