Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 760

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Independent Duty Corpsman Providers

NPI Name Type Address

1649517921

MR. DIVE IDC Fred Joseph Brodie

Individual

2930 Tarawa Rd

San Diego, CA

1205174752

Celso Villanueva Cayanan

Individual

2051 Cushing Rd

San Diego, CA

1295073765

MR. IDC Carlos Eric Tafoya

Individual

2524 Eniwetok Rd

San Diego, CA

1558600718

MR. IDC Nicholas Sarkodie Acheampong

Individual

3502 Attu Rd

.bldg 806

San Diego, CA

1437490828

IDC Catherine Diane Bell

Individual

34800 Bob Wilson Dr

San Diego, CA

1841532397

MR. Mary Ann Delpilar

Individual

34101 Farenholt Ave

San Diego, CA

1720321615

IDC Jason Ryan Heitz

Individual

140 Sylvester Rd Bldg 139

San Diego, CA

1528401338

MR. IDC Geffery Morgan Mcpike

Individual

34101 Farenholt Ave

San Diego, CA

1205279064

IDC Yoel Eduardo Barone Hernandez

Individual

2642 Trident Way

Bldg 616

San Diego, CA

1477996171

MR. IDC Marvin Cox

Individual

34191 Farenholt Ave

San Diego, CA

1801239504

IDC Terrance Alexander Mayes

Individual

34101 Farenholt Ave

San Diego, CA

1417390121

IDC Jamie Leigh Salanguit

Individual

34101 Farenholt Ave

San Diego, CA

1134562846

IDC Stewart Bruce Butler

Individual

34101 Farenholt Ave

San Diego, CA

1376986992

IDC Jovon Wells

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1548603061

IDC Jacqueline Ann Ladue

Individual

6482 Ambrosia Dr

Apt 5110

San Diego, CA

1083059224

IDC Kuditshini Kakese Mukendi

Individual

8829 Spectrum Center Blvd

Apt 3111

San Diego, CA

1487099008

MR. IDC Carlos J Gomez

Individual

2424 Rendova Rd

Bldg 156

San Diego, CA

1912342536

IDC Lon Phillip Chaney

Individual

2626 Shoup Dr

San Diego, CA

1821433442

IDC Ariel E Calderon

Individual

3134 Chatelain Ct

San Diego, CA

1881030310

IDC Brandon Christopher Jackson

Individual

6810 Camphor Ln

San Diego, 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