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

Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1215316674

IDC Robertjose Nathan Sanchezcolon

Individual

34800 Bob Wilson Dr

San Diego, CA

1801275219

Christopher Patrick

Individual

38400 Bob Wilson Dr

San Diego, CA

1538548946

Christopher Steven Hinds

Individual

38400 Bob Wilson Dr

San Diego, CA

1144609330

Thaysha King

Individual

34800 Bob Wilson Dr

San Diego, CA

1962881151

Eddie Jayson Guzman

Individual

10309 Sculpin St

San Diego, CA

1770962409

IDC Robert Staton

Individual

Surface Warfare Medical Institute

34101 Farenholt Avenue, Building 14

San Diego, CA

1922487479

Audrey Dawn Ainsworth

Individual

3833 Midway Dr

107

San Diego, CA

1205217080

Erick Garcia

Individual

34800 Bob Wilson Dr

San Diego, CA

1144602178

Bryan Zehnder

Individual

2525 Bauer Rd

San Diego, CA

1083007009

Eric Michael Garneau

Individual

2348 Trident Way

San Diego, CA

1326424383

Seo Beom Song

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1326416439

IDC Alberto Sevillaparra

Individual

Naval Medical Ctr

34800 Bob Wilson Drive

San Diego, CA

1245609619

IDC Chad Skottke

Individual

34101 Farenholt Ave

San Diego, CA

1457720427

MR. IDC Andres Bargados Santamaria III

Individual

116 Cummings Rd

San Diego, CA

1730559212

Oliver Bailey IV

Individual

34800 Bob Wilson Dr

San Diego, CA

1083084586

IDC Fritz Batiduan

Individual

3201 Bebas Ln

San Diego, CA

1043680499

Thomas Polk

Individual

2609 W Canyon Ave

Apt 307

San Diego, CA

1649640004

IDC Paul Burden

Individual

34101 Building 14 Farenholt Ave

San Diego, CA

1306216684

SFIDC Matthew Corsey

Individual

4017 Vivian St

San Diego, CA

1932579182

Scott Long

Individual

10171 Obrien Pl

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...

Copy url
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
Copy url

Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689