MR. JASON PATRICK CORDERO IDC
NPI 1104108711
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Jason Cordero's NPI number?

The NPI number for Jason Cordero is 1104108711. It was assigned to this individual provider in the NPPES registry on September 10, 2011.

Q: What is Jason Cordero'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 Jason Cordero was last updated on September 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 September 10, 2011

5038 COVE VIEW PL, SAN DIEGO, CA 92154(619) 201-4430 Get Directions Write a Review

NPPES record last updated: September 10, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Jason Patrick Cordero Idc NPPES

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

MR. JASON PATRICK CORDERO IDC (NPI 1104108711) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1104108711

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. JASON PATRICK CORDEROCredential: IDC

Location Address5038 COVE VIEW PLSan Diego, CA 92154-8447

Mailing Address5038 Cove View PlSan Diego, CA 92154-8447 · (619) 201-4430

Phone(619) 201-4430

Sole ProprietorYes

Enumeration DateSeptember 10, 2011

✔ NPI 1104108711 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.

5038 COVE VIEW PL, San Diego, CA 92154

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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 Jason Cordero's NPI number?

The NPI number for Jason Cordero is 1104108711. It was assigned to this individual provider in the NPPES registry on September 10, 2011.

Where is Jason Cordero located?

Jason Cordero practices at 5038 Cove View Pl, San Diego, CA 92154. The listed phone number is (619) 201-4430.

What is Jason Cordero'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 Jason Cordero was last updated on September 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.