MR. LAWRENCE JASON JACOBS SFIDC
NPI 1003243338
Military Health Care Provider - Independent Duty Corpsman in Winchester, CA

Active since October 01, 2013
34949 VISCARIA CT, WINCHESTER, CA 92596(260) 740-6714 Get Directions Write a Review

NPPES record last updated: October 1, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Lawrence Jason Jacobs Sfidc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LAWRENCE JASON JACOBS SFIDC (NPI 1003243338) is an individual independent duty corpsman provider in Winchester, California and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1003243338
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. LAWRENCE JASON JACOBSCredential: SFIDC
Location Address34949 VISCARIA CTWinchester, CA 92596-8968
Mailing Address34949 Viscaria CtWinchester, CA 92596-8968 · (260) 740-6714
Sole ProprietorNo
Enumeration DateOctober 1, 2013
NPI 1003243338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
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.

34949 VISCARIA CT, Winchester, CA 92596

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Vocational Nurse
34949 VISCARIA CT
WINCHESTER, CA 92596

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003243338, enumerated as an "individual" on October 01, 2013.

The provider is located at 34949 VISCARIA CT WINCHESTER, CA 92596 and the phone number is (260) 740-6714.

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.