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

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Independent Duty Corpsman Providers

NPI Name Type Address

1790745552

MR. IDC Rowel Limbo Cannu

Individual

34800 Bob Wilson Dr

San Diego, CA

1821059098

IDC Philip F Confer

Individual

2450 Craven St

San Diego, CA

1528029881

IDC Andres Costas Aranda

Individual

6400 Guadalcanal St

San Diego, CA

1316908338

Shawn Eric Mcdonald

Individual

35000 Guadacanal St

San Diego, CA

1003877648

MR. INDEPENDENT DUTY COR Timothy William Newman I

Individual

10353 San Diego Mission Rd

Apt C219

San Diego, CA

1417919986

MR. IDC Lawrence Milton Preston JR.

Individual

3408 Bob Wilson Dr

San Diego, CA

1699737924

MR. IDC Joe H Espinosa III

Individual

3975 Norman Scott Rd

Suite 1

San Diego, CA

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

1679538268

MR. INDEPENDENT DUTY COR Christopher Daniel Garcia

Individual

Clr 17 Ras

Camp Pendleton, CA

1811951643

MR. IDC Paul Mclain Ziemer

Individual

Naval Ambulatory Care Clinic Point Mugu

1 Dispensary Rd, Bldg 5

Point Mugu Nawc, CA

1316904097

MR. IDC Gilbert Ruiz Barrera JR.

Individual

314a Smith Ln

San Clemente, CA

1477594646

Michael Dale Richardson

Individual

Hc-83 Bldg 3005

Naval Hospital Branch Clinic Mcmwtc

Bridgeport, CA

1295779346

MR. IDC Bruce L. Richardson JR.

Individual

937 Franklin Ave

Branch Health Clinic Lemoore

Lemoore, CA

1003840653

MR. IDC Robert David Gerardi

Individual

2841 Rendova Road

San Diego, CA

1497767453

MR. IDC David Roger Heglin

Individual

4643 Dock Rd Bldg 524

Port Hueneme, CA

1518051606

Joseph Dennis

Individual

3325 Senn Rd

Bldg 55 Rm 100a

San Diego, CA

1659460590

MR. IDC Jerry M Smith JR.

Individual

4643 Dock Rd

Bldg 524

Port Hueneme, 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

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