MR. ANDY BURNETT INDEPENDENT DUTY HM
NPI 1104134006
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since September 14, 2010
17144 RUETTE CAMPANA, SAN DIEGO, CA 92128(619) 884-0295 Get Directions Write a Review

NPPES record last updated: September 14, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Andy Burnett Independent Duty Hm NPPES

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

MR. ANDY BURNETT INDEPENDENT DUTY HM (NPI 1104134006) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1104134006
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. ANDY BURNETTCredential: INDEPENDENT DUTY HM
Location Address17144 RUETTE CAMPANASan Diego, CA 92128-2021
Mailing Address17144 Ruette CampanaSan Diego, CA 92128-2021 · (619) 884-0295
Sole ProprietorNo
Enumeration DateSeptember 14, 2010
NPI 1104134006 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.

17144 RUETTE CAMPANA, San Diego, CA 92128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104134006, enumerated as an "individual" on September 14, 2010.

The provider is located at 17144 RUETTE CAMPANA SAN DIEGO, CA 92128 and the phone number is (619) 884-0295.

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