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

Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1932711934

Alvaro Daniel Macias

Individual

8685 Rio San Diego Dr Apt 4344

San Diego, CA

1528671278

SFIDC Jessica Maisonet

Individual

34800 Bob Wilson Dr

San Diego, CA

1013520667

Rashaad Brown

Individual

4454 Cherokee Ave Apt 2

San Diego, CA

1073126249

Alfredo Carrillo

Individual

34800 Bob Wilson Dr

San Diego, CA

1538772637

Dominique Wiggins

Individual

2710 N Harbor Dr

San Diego, CA

1346853132

Brooke Proverb

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1316550106

MR. John K Housinga

Individual

34800 Bob Wilson Dr

San Diego, CA

1376157164

MR. Toure Marlow Hinton

Individual

34800 Bob Wilson Dr

San Diego, CA

1255945069

SFIDC Jeremy Lee

Individual

509 Dennery Rd Apt 145

San Diego, CA

1356955975

Joshua Daniel Harden

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1275146664

IDC Zachariah Jacob Charles Boydsnee

Individual

34800 Bob Wilson Dr

San Diego, CA

1316551740

IDC Kyle Bode Francis

Individual

3149 Murray Ridge Rd

San Diego, CA

1588278915

Justin Keith Redus

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1174130744

SFIDC Daniel Carrera

Individual

2645 W Canyon Ave Apt 450

San Diego, CA

1770180648

Darius Lee Sean Woods

Individual

6033 Sandy Shore Ct

San Diego, CA

1962031062

IDC Eric Stuart

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1720684319

IDC Brandon Young

Individual

3401 Farenholt Ave Building 14

San Diego, CA

1801492145

Felicia Leanna Roberts

Individual

2267 Reed Ave

San Diego, CA

1851987820

Paris Menesesblackmon

Individual

34800 Bob Wilson Dr

San Diego, CA

1255943635

SFIDC Stephon Peyton Frost

Individual

2654 Mendonca Dr

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...

Copy url
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
Copy url

Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689