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

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Independent Duty Corpsman Providers

NPI Name Type Address

1437719671

Mark Jhun Tanala Orodio

Individual

34101 Farenholt Ave

San Diego, CA

1689234825

IDC Jeremy Harjo

Individual

34800 Bob Wilson Dr

San Diego, CA

1477113611

MR. Walter Levy Rutschow

Individual

34800 Bob Wilson Dr

San Diego, CA

1568022713

Jessica Marie Embrey

Individual

34800 Bob Wilson Dr

San Diego, CA

1982265930

IDC Adrianna Selena Gonzalez

Individual

34800 Bob Wilson Dr

San Diego, CA

1467013227

IDC Kevin Dewayne Woods

Individual

2422 56th St

San Diego, CA

1841851631

Kenny Mendoza

Individual

34800 Bob Wilson Dr

San Diego, CA

1598326290

Lindsay Alexandra Nelson

Individual

34800 Bob Wilson Dr

San Diego, CA

1871154518

IDC Westley Wayne Gorman

Individual

34800 Bob Wilson Dr

San Diego, CA

1932760568

MS. IDC Susan Leroy Joslin

Individual

4440 Twain Ave Apt 284

San Diego, CA

1982265542

Shawn M Lucas

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1972164515

IDC Troy James Torreyson

Individual

34800 Bob Wilson Dr

San Diego, CA

1619538287

IDC William I Tallman

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1548821127

Erica Lynn Hazen

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1609437045

IDC Matthew Philip Edmunds

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1669033007

IDC Grant Merritt Mcgory JR.

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1720649833

Christian Bryan Guevara

Individual

895 Park Blvd Apt 519

San Diego, CA

1093377749

IDC Krystal Marie Miranda

Individual

14, 34101 Farenholt Ave

San Diego, CA

1720640972

Luis Alberto Anzures

Individual

34101 Farenholt Ave

San Diego, CA

1962054072

MR. IDC Adam M Ostrander

Individual

8309 Krenz St

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