| NPI | Name | Type | Address |
|---|---|---|---|
|
David Leyva |
Individual |
34101 Farenholt Ave Bldg 15 San Diego, CA |
|
|
Stephanie Fanchiang |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Matthew Garcia |
Individual |
1440 Hotel Cir N Apt 122 San Diego, CA |
|
|
MR. Alexander Naval |
Individual |
94010 Farenholt Ave San Diego, CA |
|
|
MR. I.D.C Stephen Sevier |
Individual |
10186 Bausell Ct San Diego, CA |
|
|
MR. Dennis James Anderson |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. IDC Kevin Gooch |
Individual |
4221 34th St Apt #25 San Diego, CA |
|
|
Jason Hancock |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Allan Nelson Ganuza |
Individual |
34800 Bob Wilson Dr Naval Medical Center San Diego San Diego, CA |
|
|
IDC Patrick Mctavish |
Individual |
3781 Atlas St San Diego, CA |
|
|
IDC Joseph Roman Shields |
Individual |
3166 Barnett Ave San Diego, CA |
|
|
IDC Titus Luke Baker |
Individual |
2695 Shoup Dr San Diego, CA |
|
|
IDC Quintin Bright |
Individual |
3443 Kearny Villa Ln San Diego, CA |
|
|
IDC Chase Speed |
Individual |
1440 Hotel Cir N Apt 467 San Diego, CA |
|
|
Lewis James Lasauskas |
Individual |
34101 Farenholt Ave Building 14 San Diego, CA |
|
|
Garion Pequeno |
Individual |
14 Farenholt Ave San Diego, CA |
|
|
IDC Tommy Lee Turtle |
Individual |
34101 Farenholt Ave Building 14 San Diego, CA |
|
|
IDC Jon French |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Devin Michael Miller |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC David Tyler Bauer |
Individual |
34101 Farenholt Ave 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 |