KEOKY DELAPENA IDC STUDENT
NPI 1124619861
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Keoky Delapena's NPI number?

The NPI number for Keoky Delapena is 1124619861. It was assigned to this individual provider in the NPPES registry on January 26, 2021.

Q: What is Keoky Delapena'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 Keoky Delapena was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 January 26, 2021

14101 FARENHOLT AVENUE BLDG 14, SAN DIEGO, CA 92134(619) 532-7968 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Keoky Delapena Idc Student NPPES

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

KEOKY DELAPENA IDC STUDENT (NPI 1124619861) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1124619861

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameKEOKY DELAPENACredential: IDC STUDENT

Location Address14101 FARENHOLT AVENUE BLDG 14San Diego, CA 92134-5291

Mailing Address14101 Farenholt Avenue Bldg 14San Diego, CA 92134-5291 · (619) 532-7968

Phone(619) 532-7968

Sole ProprietorNo

Enumeration DateJanuary 26, 2021

NPPES CertifiedJanuary 26, 2021

✔ NPI 1124619861 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.

14101 FARENHOLT AVENUE BLDG 14, San Diego, CA 92134

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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 Keoky Delapena's NPI number?

The NPI number for Keoky Delapena is 1124619861. It was assigned to this individual provider in the NPPES registry on January 26, 2021.

Where is Keoky Delapena located?

Keoky Delapena practices at 14101 Farenholt Avenue Bldg 14, San Diego, CA 92134. The listed phone number is (619) 532-7968.

What is Keoky Delapena'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 Keoky Delapena was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.