| NPI | Name | Type | Address |
|---|---|---|---|
|
Alvaro Daniel Macias |
Individual |
8685 Rio San Diego Dr Apt 4344 San Diego, CA |
|
|
SFIDC Jessica Maisonet |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Rashaad Brown |
Individual |
4454 Cherokee Ave Apt 2 San Diego, CA |
|
|
Alfredo Carrillo |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Dominique Wiggins |
Individual |
2710 N Harbor Dr San Diego, CA |
|
|
Brooke Proverb |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. John K Housinga |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. Toure Marlow Hinton |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
SFIDC Jeremy Lee |
Individual |
509 Dennery Rd Apt 145 San Diego, CA |
|
|
Joshua Daniel Harden |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Zachariah Jacob Charles Boydsnee |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Kyle Bode Francis |
Individual |
3149 Murray Ridge Rd San Diego, CA |
|
|
Justin Keith Redus |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
SFIDC Daniel Carrera |
Individual |
2645 W Canyon Ave Apt 450 San Diego, CA |
|
|
Darius Lee Sean Woods |
Individual |
6033 Sandy Shore Ct San Diego, CA |
|
|
IDC Eric Stuart |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Brandon Young |
Individual |
3401 Farenholt Ave Building 14 San Diego, CA |
|
|
Felicia Leanna Roberts |
Individual |
2267 Reed Ave San Diego, CA |
|
|
Paris Menesesblackmon |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
SFIDC Stephon Peyton Frost |
Individual |
2654 Mendonca Dr 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 |