Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 1,105

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Independent Duty Corpsman Providers

NPI Name Type Address

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

1043424617

SURFACE IDC Paul James Leners

Individual

3455 Sturtevant St Ste 1

San Diego, CA

1962614560

IDC (NAVY) George Thomas Stevens IV

Individual

3330 Tarawa Rd Bldg 327

San Diego, CA

1518171305

MR. IDC Christopher Lee Nehlen

Individual

1st Medical Battalion

1st Mlg Camp Pendleton

Oceanside, CA

1689896995

MR. IDC Matthew James Schaffer

Individual

34101 Farenholt Ave

San Diego, CA

1255543930

IDC David Partible Carbungco

Individual

Naval Hospital Camp Pendleton

Box 555191-5191

Camp Pendleton,, CA

1164637005

MR. IDC, RN Preston P. Thrift

Individual

53560 Hull St

San Diego, CA

1477766871

MR. IDC Michael Robert Grohman

Individual

41256 Stewart Mesa Rd

Camp Pendleton, CA

1568675528

MR. Michael Francis Mccune

Individual

34101 Farenholt Ave.idc Suite

San Diego, CA

1063627099

MS. IDC Connie Jean Lawson

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1598971749

MR. IDC Dustin Adams

Individual

Naval Hospital Camp Pendleton

52 Area Branch Medical Clinic

Camp Pendleton, CA

1659587871

MR. IDC Tavis Scott Buckingham

Individual

Uss New Orleans (lpd 18) Fpo Ap 96673-1701

Commanding Officer

San Diego, CA

1316153232

NAVY SFIDC Jeffrey Lane Jones

Individual

3226 Tarawa Rd

San Diego, CA

1427266931

MR. IDC Brian Michael Strahl

Individual

5 Nmcb 5 Street

Port Hueneme, CA

1053529578

US NAVY IDC Robert Claire Goodrich

Individual

34101 Farenholt Ave

San Diego, CA

1346450665

MR. SFIDC Isaias C Suarez II

Individual

3325 Senn Rd

Bldg 55 Rm 228

San Diego, CA

1578773404

MR. HS, IDHS, USCG Damon Russell Lawson JR.

Individual

599 Tomales Rd

Petaluma, CA

1659581700

IDC Rashad Boyd

Individual

2740 Peninsula Rd Apt 222

Oxnard, 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