| NPI | Name | Type | Address |
|---|---|---|---|
|
I.D.C Estrellita Delrosar Edmond |
Individual |
2450 Craven St San Diego, CA |
|
|
IDC Douangta Yang |
Individual |
Comlcsron One 3325 Senn Rd Suite 7 San Diego, CA |
|
|
USN DIVE IDC Vladimir Link |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Daniel Keith Zihlman |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Gabriel Jose San Pedro |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC J William Kirk |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Jacob A Jeffreys |
Individual |
2994 B St San Diego, CA |
|
|
Jose E Gonzalez-ramos |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
INDEPENDENT DUTY COR Phillip Daniel Morris |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Luis Javier Esquivel |
Individual |
34101 Fareholt Ave San Diego, CA |
|
|
SURFACE FORCE IDC Daniel Scott Langhorne |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Jared Michael O'brien |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Jamarh Dixon |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Gilbert Flores |
Individual |
14, 34101 Farenholt Ave San Diego, CA |
|
|
Francis Allen Boecker |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
DEEP SEA IDC Bradford Joshua Allison |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
DIVE IDC Nolan Andrew Ellis |
Individual |
3156 Salmon St San Diego, CA |
|
|
IDC Jacob Meers |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. SFIDC Anthony William Reynolds JR. |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Jeffrey White |
Individual |
3401 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 |