| NPI | Name | Type | Address |
|---|---|---|---|
|
Mark Jhun Tanala Orodio |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Jeremy Harjo |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. Walter Levy Rutschow |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Jessica Marie Embrey |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Adrianna Selena Gonzalez |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Kevin Dewayne Woods |
Individual |
2422 56th St San Diego, CA |
|
|
Kenny Mendoza |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Lindsay Alexandra Nelson |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Westley Wayne Gorman |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MS. IDC Susan Leroy Joslin |
Individual |
4440 Twain Ave Apt 284 San Diego, CA |
|
|
Shawn M Lucas |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Troy James Torreyson |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC William I Tallman |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Erica Lynn Hazen |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Matthew Philip Edmunds |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Grant Merritt Mcgory JR. |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Christian Bryan Guevara |
Individual |
895 Park Blvd Apt 519 San Diego, CA |
|
|
IDC Krystal Marie Miranda |
Individual |
14, 34101 Farenholt Ave San Diego, CA |
|
|
Luis Alberto Anzures |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Adam M Ostrander |
Individual |
8309 Krenz St 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 |