ERIK CHRISTIAN KETELSEN IDC
NPI 1093043051
Military Health Care Provider - Independent Duty Corpsman in Port Hueneme, CA

Q: What is Erik Ketelsen's NPI number?

The NPI number for Erik Ketelsen is 1093043051. It was assigned to this individual provider in the NPPES registry on December 1, 2009.

Q: What is Erik Ketelsen'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 Erik Ketelsen was last updated on December 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since December 01, 2009

4653 DOCK RD, BLDG 524, PORT HUENEME, CA 93043(619) 534-7920 Get Directions Write a Review

NPPES record last updated: December 1, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Erik Christian Ketelsen Idc NPPES

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

ERIK CHRISTIAN KETELSEN IDC (NPI 1093043051) is an individual independent duty corpsman provider in Port Hueneme, California and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1093043051

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameERIK CHRISTIAN KETELSENCredential: IDC

Location Address4653 DOCK RD, BLDG 524Port Hueneme, CA 93043-4321

Mailing Address18 Aliso LnVentura, CA 93001-3214

Phone(619) 534-7920

Sole ProprietorYes

Enumeration DateDecember 1, 2009

✔ NPI 1093043051 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.

4653 DOCK RD, Port Hueneme, CA 93043

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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 Erik Ketelsen's NPI number?

The NPI number for Erik Ketelsen is 1093043051. It was assigned to this individual provider in the NPPES registry on December 1, 2009.

Where is Erik Ketelsen located?

Erik Ketelsen practices at 4653 Dock Rd Bldg 524, Port Hueneme, CA 93043. The listed phone number is (619) 534-7920.

What is Erik Ketelsen'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 Erik Ketelsen was last updated on December 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.