Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 760
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
IDC Michael Johnson |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Ricardo Rene Khaleel |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Jacob Salinas |
Individual |
2575 Old Quarry Rd Apt 723 San Diego, CA |
|
|
IDC Brian George Nelson |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Robert Dean Ficke |
Individual |
1281 9th Ave Unit 1714 San Diego, CA |
|
|
Robert Baca |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Merle Frederick Swenson |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Kenneth Edward Siebert JR. |
Individual |
4831 Shields St San Diego, CA |
|
|
Manuela Gabriela Delva |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Christopher Warren Samples |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Nathan Eli Wagner |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
SFIDC Joseph Dinar Brian Maneja Malabanan |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Brandon Ponder |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Jose Luis Pina |
Individual |
140 Sylvester Rd San Diego, CA |
|
|
MR. James Percy Mchale III |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. Conner Paul Spuhl |
Individual |
10071 Rio San Diego Dr Apt 311 San Diego, CA |
|
|
IDC Mark M Garcia |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Maximo Javier Diaz-rolon |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Nicholas Edward Brooky |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Keith Michael Adams |
Individual |
34101 Farenholt Ave # 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 |