Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 760
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
John Hensen |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Brandon James Grant |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Chantelle Ponder |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Michael Ray Williams |
Individual |
140 Sylvester Rd San Diego, CA |
|
|
MR. John Neil Dragneff JR. |
Individual |
34101 Farenholt Ave # 14 San Diego, CA |
|
|
IDC Simon Andrew Soto |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Ryan Gonzales |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. Oliver Colombine |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Lauren Pereda |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MRS. Crystal Faith Dethlefs |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Travis Allen Mosley |
Individual |
43101 Farenholt Ave San Diego, CA |
|
|
IDC Michael Warden |
Individual |
3325 Senn Rd San Diego, CA |
|
|
Andres Ricardo Castaneda |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Kayla Seim |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Eric Ancheta |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Randall Finney |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MRS. IDC Margaret Conlon Hooker |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MILITARY PROVIDER Nicasio Borja Bone |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Hector Santillan JR. |
Individual |
2450 Craven St Naval Station San Diego San Diego, CA |
|
|
IDC Michael Robert Mahoney JR. |
Individual |
34800 Bob Wilson Dr Ste 14 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...
| 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 |