| NPI | Name | Type | Address |
|---|---|---|---|
|
IDC Ian Victor Bayne-campbell |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Raphael Luke Landicho |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. IDC Christopher Brian Hilliard |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC STUDENT Keoky Delapena |
Individual |
14101 Farenholt Avenue Bldg 14 San Diego, CA |
|
|
IDC Matthew D Welch |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Nichole Gatlin |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
US NAVY HM IDC Joshua Isaac Lazenby |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MS. IDC Laren Olivar |
Individual |
3380 Sturtevant St San Diego, CA |
|
|
Sean Coffey |
Individual |
3815 3rd Ave Apt 23 San Diego, CA |
|
|
Joshua Tyler Mathis |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MRS. Jennifer Eunhyea Gonyea |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Tinsae Tekleab |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Warren Daichi Hickman |
Individual |
34101 Fareholt Ave Building 14 San Diego, CA |
|
|
MR. IDC Jorge L Acosta |
Individual |
34101 Farenholt Ave Ste 233 San Diego, CA |
|
|
IDC Angelina Yvette Harris |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
STUDENT Aaron Joseph Pfrimmer |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Fletcher Lukens |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Adrian S Calma |
Individual |
5448 Santa Alicia San Diego, CA |
|
|
Jake Garrett Theobald |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Brandon Lane Thiele |
Individual |
34101 Farenholt Ave Bldg 14 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 |