CARLETUS M PATRICK IDC
NPI 1013195718
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Carletus Patrick's NPI number?

The NPI number for Carletus Patrick is 1013195718. It was assigned to this individual provider in the NPPES registry on February 5, 2008.

Q: What is Carletus Patrick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carletus Patrick was last updated on September 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 05, 2008

2450 CRAVEN ST, SAN DIEGO, CA 92136(619) 556-6081 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Carletus M Patrick Idc NPPES

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

CARLETUS M PATRICK IDC (NPI 1013195718) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1013195718

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameCARLETUS M PATRICKCredential: IDC

Location Address2450 CRAVEN STSan Diego, CA 92136-5599

Mailing Address1616 San Bernardino AveSpring Valley, CA 91977-4650 · (619) 694-9040

Phone(619) 556-6081

Sole ProprietorYes

Enumeration DateFebruary 5, 2008

Last NPPES UpdateSeptember 6, 2011

✔ NPI 1013195718 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.

2450 CRAVEN ST, San Diego, CA 92136

Open in Google Maps ↗

Other Providers at the Same Location NPPES 12

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

MS. KEREN MIREYA LEMAS IDC

Military Health Care Provider (Independent Duty Medical Technicians)

2450 CRAVEN ST
SAN DIEGO, CA 92136

San Diego County (619) 556-8114

MR. JOSHUA DAVID FRENCH IDC