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

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Independent Duty Corpsman Providers

NPI Name Type Address

1104409408

Wei-ju Lai

Individual

2450 Craven St # 3300

San Diego, CA

1205875317

Vilma T Rodriguez

Individual

3325 Senn Rd

San Diego, CA

1811574775

Ryan Phillip Walker

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1053994350

Alex Volante

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1407523913

Janeen Nicole Gaynor

Individual

34101 Farenholt Ave

San Diego, CA

1750757134

US NAVY IDC Gilbert Corpuz

Individual

34101 Farenholt Ave

Building 14

San Diego, CA

1750058269

Troy Carter

Individual

34101 Farenholt Ave

San Diego, CA

1972270387

Christian Ralph Reyes

Individual

Surface Warfare Medical Institute 34101 Farenholt Ave

San Diego, CA

1285301697

James Allen Arthur

Individual

34101 Farenholt Ave

San Diego, CA

1760159271

MR. Tyler Kelly

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1336722685

IDC Aikkiko Nickler

Individual

1741 Oro Vista Rd Apt 245

San Diego, CA

1205503711

Anthony Richard Parrotta

Individual

Surface Warfare Medical Institute

34101 Farenholt Ave

San Diego, CA

1922775204

Andrew Mercier

Individual

Surface Warfare Medical Institute 34101 Farenholt Ave

San Diego, CA

1770250284

Catherine Bagwell

Individual

34101 Farenholt Ave

San Diego, CA

1619644028

SFIDC Daniel Formano

Individual

34101 Farenholt Ave

San Diego, CA

1750058046

IDC Aram Adam Khadivi

Individual

1223 26th St

San Diego, CA

1992472302

Justin Don Villasenor Napa

Individual

34101 Farenholt Ave

San Diego, CA

1346917754

STUDENT Jabiel Vernon Cruz

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1861075079

IDC Ryan Mcdarren Cain

Individual

1771 Historic Decatur Rd

San Diego, CA

1144997552

Joshua Francis Quinsaat Pinzon

Individual

34101 Farenholt Ave

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...

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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
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Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689