CHRISTOPHER RUSSELL PETERSON IDEPENDENT DUTY CORP
NPI 1023504412
Military Health Care Provider - Independent Duty Corpsman in Oceanside, CA

Active since July 09, 2018
909 ASH RD, OCEANSIDE, CA 92058(818) 404-4527 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Christopher Russell Peterson Idependent Duty Corp NPPES

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

CHRISTOPHER RUSSELL PETERSON IDEPENDENT DUTY CORP (NPI 1023504412) is an individual independent duty corpsman provider in Oceanside, California and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1023504412
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameCHRISTOPHER RUSSELL PETERSONCredential: IDEPENDENT DUTY CORP
Location Address909 ASH RDOceanside, CA 92058-8664
Mailing Address34101 Farenholt AveSan Diego, CA 92134-7000 · (619) 532-7968
Sole ProprietorYes
Enumeration DateJuly 9, 2018
NPI 1023504412 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.

909 ASH RD, Oceanside, CA 92058

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 Christopher Peterson's NPI number?

The NPI number for Christopher Peterson is 1023504412. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Christopher Peterson located?

Christopher Peterson practices at 909 Ash Rd, Oceanside, CA 92058. The listed phone number is (818) 404-4527.

What is Christopher Peterson'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 Christopher Peterson was last updated on July 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.