Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 760
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. SFIDC Genesisjames Basilio Dizon |
Individual |
3167 Saint Charles St San Diego, CA |
|
|
SFIDC Aaron Wade Christensen |
Individual |
699 14th St San Diego, CA |
|
|
MR. IDC Robert Jess Valtierra III |
Individual |
Surface Warfare Medical Institute 34101 Farenholt Avenue, Building 14 San Diego, CA |
|
|
Jason Lair |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Jamie Lee Benitez |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
SFIDC Fredy Labra |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Richard Edward Spells II |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. SFIDC Juan Rubin Arreola |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Meghan Halisky |
Individual |
2496 Bauer Rd San Diego, CA |
|
|
IDC Timothy Ryan Edgar |
Individual |
3883 Ingraham St Apt #u309 San Diego, CA |
|
|
IDC John Francis Talavera Corteza |
Individual |
3325 Senn Rd Rm 153 San Diego, CA |
|
|
MS. SFIDC Elizabeth Marie Richeal |
Individual |
2330 Grove Ave Apt 3 San Diego, CA |
|
|
MR. SFIDC Jesse Lee Reed |
Individual |
6016 Rock Island Rd San Diego, CA |
|
|
DIVE IDC Justin Cory Wallace |
Individual |
699 14th St San Diego, CA |
|
|
Jason Cahill |
Individual |
2764 Tuscaloosa St San Diego, CA |
|
|
SFIDC Jamin L Beaugard |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Mary Rose Morales |
Individual |
Navconbrig Miramar 46141 Miramar Way San Diego, CA |
|
|
Weldon W Wellington |
Individual |
Surface Warfare Medical Institute 34101 Farenholt Avenue, Building 14 San Diego, CA |
|
|
SFIDC Kevin Nguyen |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
SFIDC Ian Jang |
Individual |
34101 Farenholt Ave Building 14 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 |