| NPI | Name | Type | Address |
|---|---|---|---|
|
Ronald Tinio |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Juan Galarza |
Individual |
3425 Beech St Apt 21 San Diego, CA |
|
|
Tara Bonilla |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. IDC Nicholas A. Sleeman |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Jason Fout |
Individual |
34101 Farenholt Ave Building 14 San Diego, CA |
|
|
IDC Lael Fernandez JR. |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. Alan Kenneth Sweat |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Christina Shea |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. IDC Jimmy L Young JR. |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Kaleb Hart |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Tramell Comfort |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Morty Morris Ervin JR. |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Brian Crockett |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Brandon Girard |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Justin Paul Lachney |
Individual |
34101 Farenholt Avenue San Diego, CA |
|
|
IDC Cynthia Martens |
Individual |
34101 Farenholt Ave Building 14 San Diego, CA |
|
|
IDC Carrie Conn |
Individual |
4981 Catoctin Dr Apt 6 San Diego, CA |
|
|
MR. DIVE IDC Benjamin Puckett |
Individual |
2661 A St San Diego, CA |
|
|
Tamia Daniels |
Individual |
38400 Bob Wilson Dr San Diego, CA |
|
|
MR. IDC Joseph E Lanyon |
Individual |
Naval Medical Center San Diego Military Health Center 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 |