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

Copy url
Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1538120068

U.s. Navy

Organization

34800 Bob Wilson Dr

San Diego, CA

1174781314

IDC Michael Martin

Individual

Naval Hospital

Commanding Officer

Camp Pendleton, CA

1588822605

SFIDC Benedicto Vicencio Manalansan

Individual

2240 Spring Oak Way

San Diego, CA

1053579821

MR. IDC Jesus A Quinonez

Individual

34730 Bob Wilson Dr

San Diego, CA

1780842419

IDC Michael Roger Barnhart

Individual

Nolf Bldg 169

San Diego, CA

1801054465

MR. SFIDC Terry D Green

Individual

34800 Bob Wilson Dr

San Diego, CA

1356509970

IDC Richard Power

Individual

34800 Bob Wilson Dr

San Diego, CA

1386802874

IDC Veronyka T Young

Individual

35000 Guadalcanal Ave

San Diego, CA

1235208489

INDEPENDENT DUTY HM Eric Lawayne Mayes SR.

Individual

30394 Sierra Madre Dr

Temecula, CA

1457510851

NAVY IDC Tori Ann Bickerton

Individual

Branch Health Clinic Naval Air Facility

Bldg 523

El Centro, CA

1649439894

IDC Manolito Arciaga

Individual

Box 555191

Camp Pendleton Naval Hospital

Camp Pendleton, CA

1073773800

MR. IDC Ehren Lietz

Individual

35000 Guadalcanal Ave

San Diego, CA

1194985861

IDC Brian James Jackson

Individual

35000 Guadalcanal Ave

San Diego, CA

1821252172

MR. IDC Michael D Looker

Individual

34800 Bob Wilson Dr

San Diego, CA

1518179464

MR. IDC Michael Ryan Hendricks

Individual

34101 Farenholt Ave

San Diego, CA

1801857339

MR. IDC Michael Legaspi

Individual

34101 Farenholt Ave

San Diego, CA

1669638722

MR. IDC Omar Gerardo Azmitia

Individual

34101 Farenholt Ave

Surface Warfare Medicine Institute

San Diegot, CA

1922254812

MR. IDC Jerome Stanley Harding II

Individual

35000 Guadalcanal St

Branch Medical Clinic Mcrd

San Diego, CA

1902052616

Jeff Doran

Individual

H-100 Santa Margarita Rd

Naval Hospital Camp Pendleton

Camp Pendleton, CA

1285880831

MR. SF IDC Donald William Aichroth

Individual

Bldg 2496, Bauer Road

Bmc Miramar

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...

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