| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. Raymond Russell Beckley |
Individual |
240 Manzanilla Way Oceanside, CA |
|
|
MR. SFIDC Joshua William Ross |
Individual |
Naval Ambulatory Care Clinic 162 1st Street Building 1402 Port Hueneme, CA |
|
|
MR. IDC Joshua Sandoval |
Individual |
Mag -39 Medical Camp Pednlteon Camp Pednleton, CA |
|
|
IDC James Francis Ward |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Kelly Marie Kendrick |
Individual |
Bldg 2161032 Marine Corps Base Camp Pendleton, CA |
|
|
IDC Steven Lee Bledsoe |
Individual |
Clr-17 Ras, 1st Mlg Bldg 14030 Camp Pendleton, CA |
|
|
SFIDC John C Garn |
Individual |
Naval Hospital Camp Pendleton Box 555191 Camp Pendleton, CA |
|
|
MR. IDC Edward Hourican |
Individual |
3325 Senn Rd San Diego, CA |
|
|
MS. IDC Kathleen L Pierce |
Individual |
937 Franklin Blvd Lemoore, CA |
|
|
MRS. IDC Teresa Meisenhalder |
Individual |
1st Medical Battalion 22 Gas Bldg 22190 Camp Pendleton, CA |
|
|
IDC Renato L Tolosa |
Individual |
1285 Lavender Ln Hemet, CA |
|
|
MR. IDC Kirk William Stpierre |
Individual |
22 Area Group Aid Station Camp Pendleton, CA |
|
|
IDC Michael S Jimenez |
Individual |
754 Rambur St Chula Vista, CA |
|
|
MR. IDC Eduardo Malayao Magpayo |
Individual |
35000 Guadalcanal Ave San Diego, CA |
|
|
Shawn Jeremy Kern |
Individual |
Underwater Construction Team 2 Medical 4643 Dock Road Bldg 524 Port Hueneme, CA |
|
|
MR. IDC Timothy Wayne Sefa |
Individual |
35000 Guadalcanal Ave San Diego, CA |
|
|
MR. IDC/RN Leo Borisovich Bugaeff I |
Individual |
4643 Dock Rd Bldg 524 Port Hueneme, CA |
|
|
Tracie L Ham |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC James Carl Bedingfield |
Individual |
31 Area Branch Medical Clinic Bldg. 310514 Camp Pendleton, CA |
|
|
IDC Richard Eduardo Mascioni |
Individual |
800 Seal Beach Blvd #22 Seal Beach, 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 |