| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. DIMM Casey Phillips |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Davud Mark Stanley II |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
SFIDC Stephen Tarrants |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Scott Soots |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
William Daniel Leins |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Alexander Hernandez |
Individual |
14, 34101 Farenholt Ave San Diego, CA |
|
|
Claudia Susana Duranramos |
Individual |
34101 Farentholt Ave San Diego, CA |
|
|
IDC Charles Stanley Skaggs III |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. MILITARY HEALTH CARE Patrick D Satterfield |
Individual |
3475 Senn Rd San Diego, CA |
|
|
Kenneth Sheppard Moore |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Noah Morrison |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Juan David Perez Munoz |
Individual |
2792 Somers Ln San Diego, CA |
|
|
SFIDC Jennifer Dudak |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. Christian Martinez |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Daniel James Buda |
Individual |
3401 Farenholt Ave San Diego, CA |
|
|
IDC John Michael Connelly |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. IDC Phillip John Bains |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
SFIDC Joshua Jesus Vega |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
SFIDC Matthew Christopher Sears |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Matthew Alexander Blake |
Individual |
1336 Brunner St Apt H 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 |