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

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Independent Duty Corpsman Providers

NPI Name Type Address

1932161197

IDC Reynaldo Aldover Guadez

Individual

Branch Medical Clinic Mcrd

35000 Guadalcanal Street

San Diego, CA

1821051020

IDC Marty Lynn Golightly

Individual

35000 Guadalcanal Ave

San Diego, CA

1003840653

MR. IDC Robert David Gerardi

Individual

2841 Rendova Road

San Diego, CA

1518051606

Joseph Dennis

Individual

3325 Senn Rd

Bldg 55 Rm 100a

San Diego, CA

1629158449

MR. IDC Fernando Palencia JR.

Individual

3455 Sturtevant St

Suite 1

San Diego, CA

1780765784

MR. Daniel Kirk Field

Individual

2841 Rendova Road

San Diego, CA

1427139245

Patricia Loomis

Individual

3325 Senn Rd

San Diego, CA

1679654016

MR. IDC Charles Albert Williams

Individual

3455 Sturtevant St

Suite 1

San Diego, CA

1588743413

MS. IDC Angela Faye Garritson

Individual

Uss Higgins Ddg-76

San Diego, CA

1396814836

MR. MS Alberia Joseph Davis

Individual

Pcd Sampson (ddg-102)

3975 Norman Scott Rd

San Diego, CA

1851461610

IDC Paul D Loomis

Individual

Naval Coastal Warfare Group One

Nolf Ib 357140

San Diego, CA

1396817565

IDC Steven Wyatt Twilleager

Individual

Naval Coastal Warfare Squadron Five

San Diego, CA

1487707840

IDC Danielle Tabitha Tuton-gillette

Individual

2650 Stockton Rd

San Diego, CA

1265585640

IDC James H Martin

Individual

2650 Stockton Rd

San Diego, CA

1497977839

MR. IDC Jeffrey Allen Tice

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1619181534

MR. IDC Mark Conway Valencia

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1699987446

MR. IDC Jason Harold Henry

Individual

34101 Farenholt Ave

San Diego, CA

1043422652

MS. IDC Kellie Lynn Hamilton

Individual

Naval School Of Health Sciences

34101 Farenholt Ave, Bld 14

San Diego, CA

1598978587

MR. IDC Mark C Valdez

Individual

34101 Farenholt Ave

San Diego, CA

1336361617

MR. IDC Rene Calampinay Cardinal

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