MICHAEL S JIMENEZ IDC
NPI 1023143575
Military Health Care Provider - Independent Duty Corpsman in Chula Vista, CA

Active since February 23, 2007
754 RAMBUR ST, CHULA VISTA, CA 91911(619) 572-8323 Get Directions Write a Review

NPPES record last updated: July 26, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Corpsman

About MICHAEL JIMENEZ

This page provides the complete NPI Profile along with additional information for Michael Jimenez, a provider established in Chula Vista, California with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1023143575 assigned on February 2007. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1023143575 Verify this NPI
Provider Name
MICHAEL S JIMENEZ IDC
Gender
Male
Entity Type
Individual
Location Address
754 RAMBUR ST CHULA VISTA, CA 91911
Location Phone
(619) 572-8323
Mailing Address
754 RAMBUR ST CHULA VISTA, CA 91911
Is Sole Proprietor?
No
Enumeration Date
02-23-2007
Last Update Date
07-26-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Health Care Provider Independent Duty Corpsman

Taxonomy Code
1710I1002X
Type
Other Service Providers
License State
CA
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023143575, enumerated as an "individual" on February 23, 2007.

The provider is located at 754 RAMBUR ST CHULA VISTA, CA 91911 and the phone number is (619) 572-8323.

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