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

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Independent Duty Corpsman Providers

NPI Name Type Address

1083112775

MR. DIMM Casey Phillips

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1700384492

Davud Mark Stanley II

Individual

34101 Farenholt Ave

San Diego, CA

1245738939

SFIDC Stephen Tarrants

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1053819748

IDC Scott Soots

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1871091561

William Daniel Leins

Individual

34101 Farenholt Ave

San Diego, CA

1952809642

Alexander Hernandez

Individual

14, 34101 Farenholt Ave

San Diego, CA

1518465111

Claudia Susana Duranramos

Individual

34101 Farentholt Ave

San Diego, CA

1366941015

IDC Charles Stanley Skaggs III

Individual

34101 Farenholt Ave

San Diego, CA

1720588148

MR. MILITARY HEALTH CARE Patrick D Satterfield

Individual

3475 Senn Rd

San Diego, CA

1568963627

Kenneth Sheppard Moore

Individual

34800 Bob Wilson Dr

San Diego, CA

1285135350

Noah Morrison

Individual

34101 Farenholt Ave

San Diego, CA

1811498785

IDC Juan David Perez Munoz

Individual

2792 Somers Ln

San Diego, CA

1336641240

SFIDC Jennifer Dudak

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1932601879

MR. Christian Martinez

Individual

34101 Farenholt Ave

San Diego, CA

1467954313

Daniel James Buda

Individual

3401 Farenholt Ave

San Diego, CA

1659873305

IDC John Michael Connelly

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1356843031

MR. IDC Phillip John Bains

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1457854705

SFIDC Joshua Jesus Vega

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1245733500

SFIDC Matthew Christopher Sears

Individual

34101 Farenholt Ave

San Diego, CA

1699278952

MR. IDC Matthew Alexander Blake

Individual

1336 Brunner St Apt H

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