Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 760
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
SFIDC John David Howe |
Individual |
10220 Collett Way San Diego, CA |
|
|
MS. Erin Marie Brooks |
Individual |
4249 Pepper Dr San Diego, CA |
|
|
IDC Alvin Ollada Montalbo |
Individual |
3400 Tarawa Rd San Diego, CA |
|
|
IDC Nicholas John Brandes |
Individual |
2534 Trident Way San Diego, CA |
|
|
MR. Nick Gonzales Sazon |
Individual |
3400 Tarawa Rd San Diego, CA |
|
|
MR. Louis Lee Kimbriel JR. |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Christina L Demos |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. IDC Joseph Lawrence Stanco JR. |
Individual |
2348 Trident Way San Diego, CA |
|
|
David Haro |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Erik David Marker |
Individual |
3402 Tarawa Rd Bldg 19 San Diego, CA |
|
|
MR. IDC Hermin Alex Acosta |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
SFIDC Juan Steve Delgado |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Jewel Eliezer Castillo Toledo |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. Manuel Hernandez Toledo JR. |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. Jerry K Roshell |
Individual |
6077 Fauna Dr San Diego, CA |
|
|
IDC Bryan Jacob Willbanks |
Individual |
3155 Salmon St San Diego, CA |
|
|
MR. SFIDC Dustin Randall Winnon |
Individual |
34101 Farenholt Ave Building 14 San Diego, CA |
|
|
MR. IDC Maurice Kim Tanjuaquio |
Individual |
3913 Ingraham St Apt U309 San Diego, CA |
|
|
IDC Colleen Jane Leon |
Individual |
Surface Warfare Medical Institute 34101 Farenholt Avenue, Building 14 San Diego, CA |
|
|
MR. SFIDC Stephen Keith Musik |
Individual |
8558 Iverson St 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...
| 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 |