Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 4

Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1235208489

INDEPENDENT DUTY HM Eric Lawayne Mayes SR.

Individual

30394 Sierra Madre Dr

Temecula, CA

1629343462

IDC James Douglas Fejerang

Individual

45099 Tioga St

Temecula, CA

1942542097

MR. Vincent Michael Paredes

Individual

45495 Masters Dr

Temecula, CA

1568899904

MRS. SFIDC Elena Leodi Woods

Individual

31033 Corte Alamar

Temecula, 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