MR. JASON LEE GALLEGUILLOS IDC
NPI 1134473820
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since November 01, 2012
2917 C ST, UNIT 187, SAN DIEGO, CA 92102(760) 208-8939 Get Directions Write a Review

NPPES record last updated: November 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jason Lee Galleguillos Idc NPPES

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

MR. JASON LEE GALLEGUILLOS IDC (NPI 1134473820) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1134473820
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. JASON LEE GALLEGUILLOSCredential: IDC
Location Address2917 C ST, UNIT 187San Diego, CA 92102-2296
Mailing Address2917 C St, Unit 187San Diego, CA 92102-2296 · (760) 208-8939
Sole ProprietorNo
Enumeration DateNovember 1, 2012
Last NPPES UpdateNovember 3, 2012
NPI 1134473820 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.
2917 C ST, San Diego, CA 92102

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 Galleguillos's NPI number?

The NPI number for Jason Galleguillos is 1134473820. It was assigned to this individual provider in the NPPES registry on November 1, 2012.

Where is Jason Galleguillos located?

Jason Galleguillos practices at 2917 C St Unit 187, San Diego, CA 92102. The listed phone number is (760) 208-8939.

What is Jason Galleguillos'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 Galleguillos was last updated on November 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.