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MR. CALEB JAMES HAYNIE SR. IDC
NPI 1003361742
Military Health Care Provider - Independent Duty Corpsman in Coronado, CA

Active since August 23, 2016
3423 GUADALCANAL RD BLDG 401 2ND DECK, SEAL TEAM SEVENTEEN, CORONADO, CA 92155(619) 537-1334(619) 437-2068 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Caleb James Haynie Sr. Idc NPPES

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

MR. CALEB JAMES HAYNIE SR. IDC (NPI 1003361742) is an individual independent duty corpsman provider in Coronado, California and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1003361742
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. CALEB JAMES HAYNIE SR.Credential: IDC
Location Address3423 GUADALCANAL RD BLDG 401 2ND DECK, SEAL TEAM SEVENTEENCoronado, CA 92155-5599
Mailing Address3423 Guadalcanal Rd Bldg 401 2nd Deck, Seal Team SeventeenCoronado, CA 92155-5599 · (619) 537-1334 · Fax (619) 437-2068
Phone(619) 537-1334
Fax(619) 437-2068
Sole ProprietorNo
Enumeration DateAugust 23, 2016
✔ NPI 1003361742 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.
3423 GUADALCANAL RD BLDG 401 2ND DECK, Coronado, CA 92155
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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 Caleb Haynie's NPI number?

The NPI number for Caleb Haynie is 1003361742. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Where is Caleb Haynie located?

Caleb Haynie practices at 3423 Guadalcanal Rd Bldg 401 2nd Deck Seal Team Seventeen, Coronado, CA 92155. The listed phone number is (619) 537-1334.

What is Caleb Haynie'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 Caleb Haynie was last updated on August 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.