| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. NAVY IDC Gerald Lee Fitzgerald JR. |
Individual |
Surface Warfare Medicine Institute 3401 Farenholt Avenue San Diego, CA |
|
|
IDC Seth T. Secrease |
Individual |
Naval Clinic Port Hueneme 162 1st St Port Hueneme, CA |
|
|
IDC Bernard Spraggins |
Individual |
140 Sylvester Rd Building 5 San Diego, CA |
|
|
IDC Randall Bruce Durgin |
Individual |
3325 Senn Rd Bldg 55 Medical Dept San Diego, CA |
|
|
IDC Darrell Timpa |
Individual |
Swmi 34101 Farenholt Ave San Diego, CA |
|
|
MS. Elizabeth Anne Plettner |
Individual |
162 1st St Port Hueneme Cbc Base, CA |
|
|
MR. SFIDC Kimo Greg Lee |
Individual |
Bld 601 Mccain Bldg Branch Medical Clinic Naval Base Coronado San Diego, CA |
|
|
MR. IDC Matthew James Finley |
Individual |
2348 Trident Way San Diego, CA |
|
|
IDC Jason Seeforth |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. IDC Oskar Daniel Leyva |
Individual |
7983 Bellflower Dr Buena Park, CA |
|
|
IDC Manuel Valle |
Individual |
910 Del Dios Hwy Apt 97 Escondido, CA |
|
|
Katie Ellen Henry |
Individual |
1169 Emily St Redlands, CA |
|
|
SFIDC Kimberly Leeniese Chavez |
Individual |
2450 Craven St Branch Medical Clinic Naval Station Bldg 3300 San Diego, CA |
|
|
MR. IDC Salvador Alindada Vallebo JR. |
Individual |
7914 Gaylen Rd San Diego, CA |
|
|
MR. SFIDC Arcie Zamora Santos |
Individual |
937 Franklin Blvd Lemoore, CA |
|
|
IDC Erik Brandon Saunders |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. SOIDC John Lawrence Murray |
Individual |
1st Msob Medical Department Box 555341 Camp Pendleton, CA |
|
|
Linda Anona Farmer |
Individual |
Bldg 601 Mccain Blvd Bmc Naval Base Coronado San Diego, CA |
|
|
MR. IDC Edgar M. Santiago |
Individual |
Surface Warfare Medicine Inst 34101 Farenholt Ave San Diego, CA |
|
|
MR. Geoffrey Winston Busscher |
Individual |
Expeditionary Health Services Bldg 116 3985 Cummings Rd. Suite 4 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 |