RENALDO CAMPBELL IDC
NPI 1134571227
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Renaldo Campbell's NPI number?

The NPI number for Renaldo Campbell is 1134571227. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Q: What is Renaldo Campbell'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 Renaldo Campbell was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 July 12, 2016

2840 DURHAM RIDGE PL, SAN DIEGO, CA 92110(757) 604-9421 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Renaldo Campbell Idc NPPES

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

RENALDO CAMPBELL IDC (NPI 1134571227) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1134571227

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameRENALDO CAMPBELLCredential: IDC

Location Address2840 DURHAM RIDGE PLSan Diego, CA 92110-4862

Mailing Address2840 Durham Ridge PlSan Diego, CA 92110-4862 · (757) 604-9421

Phone(757) 604-9421

Sole ProprietorYes

Enumeration DateJuly 12, 2016

✔ NPI 1134571227 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.

2840 DURHAM RIDGE PL, San Diego, CA 92110

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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 Renaldo Campbell's NPI number?

The NPI number for Renaldo Campbell is 1134571227. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Where is Renaldo Campbell located?

Renaldo Campbell practices at 2840 Durham Ridge Pl, San Diego, CA 92110. The listed phone number is (757) 604-9421.

What is Renaldo Campbell'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 Renaldo Campbell was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.