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NICHOLAS RYAN DAVIS
NPI 1083396212
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since August 07, 2023
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134(318) 458-4295 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicholas Ryan Davis NPPES

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

NICHOLAS RYAN DAVIS (NPI 1083396212) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1083396212
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameNICHOLAS RYAN DAVIS
Location Address34101 FARENHOLT AVE BLDG 14San Diego, CA 92134-7000
Mailing Address1281 9th Ave Unit 921San Diego, CA 92101-4651 · (318) 458-4295
Phone(318) 458-4295
Sole ProprietorNo
Enumeration DateAugust 7, 2023
NPPES CertifiedAugust 7, 2023
✔ NPI 1083396212 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 BLDG 14, 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.

MR. JEFFREY ALLEN TICE IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-5103
MR. MARK CONWAY VALENCIA IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (310) 974-2367
MS. CONNIE JEAN LAWSON IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-5135
MR. ANDRE RAMON KIRKENDOLL IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14, SURFACE WARFARE MEDICAL INSTITUTE SAN DIEGO, CA 92134
SAN DIEGO, CA 92134
San Diego County (619) 532-5099
JASON SEEFORTH IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-5103
DR. STEVEN L BANKS D.O.
Emergency Medicine
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-7826
NATHANAEL LEE WARREN
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-6233
MR. JOSHUA ROMAN SMITH IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-6233

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 Nicholas Davis's NPI number?

The NPI number for Nicholas Davis is 1083396212. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Nicholas Davis located?

Nicholas Davis practices at 34101 Farenholt Ave Bldg 14, San Diego, CA 92134. The listed phone number is (318) 458-4295.

What is Nicholas Davis'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 Nicholas Davis was last updated on August 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.