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MR. GABRIEL JOSE SAN PEDRO IDC
NPI 1003309410
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since June 11, 2018
34101 FARENHOLT AVE, SAN DIEGO, CA 92134(619) 532-7968 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Gabriel Jose San Pedro Idc NPPES

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

MR. GABRIEL JOSE SAN PEDRO IDC (NPI 1003309410) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1003309410
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. GABRIEL JOSE SAN PEDROCredential: IDC
Location Address34101 FARENHOLT AVESan Diego, CA 92134-7000
Mailing Address34101 Farenholt AveSan Diego, CA 92134-7000 · (619) 532-7968
Phone(619) 532-7968
Sole ProprietorYes
Enumeration DateJune 11, 2018
✔ NPI 1003309410 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.

34101 FARENHOLT AVE, San Diego, CA 92134
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Other Providers at the Same Location NPPES 20

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

CHRISTOPHER A WALLACE IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7801
MR. GABRIEL A MICHAELS IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (216) 701-4316
ALEXANDER BOX
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (843) 605-3091
CHANTE ALLI MOORE
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (215) 681-7866
MR. STEVEN R CURRIER JR. SURFACE IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
MARCO OLIVAREZ
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
MR. ANDREW BUD TAYLOR IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE, BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-6233
CALEB DOUGLAS STRICKLIN IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gabriel San Pedro's NPI number?

The NPI number for Gabriel San Pedro is 1003309410. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Where is Gabriel San Pedro located?

Gabriel San Pedro practices at 34101 Farenholt Ave, San Diego, CA 92134. The listed phone number is (619) 532-7968.

What is Gabriel San Pedro's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Gabriel San Pedro was last updated on June 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.