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MITCHELL HEIMLICH
NPI 1144984212
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since October 26, 2021
10142 KEPPLER DR, SAN DIEGO, CA 92124(719) 322-3128 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mitchell Heimlich NPPES

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

MITCHELL HEIMLICH (NPI 1144984212) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1144984212
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMITCHELL HEIMLICH
Location Address10142 KEPPLER DRSan Diego, CA 92124-2504
Mailing Address10142 Keppler DrSan Diego, CA 92124-2504 · (719) 322-3128
Phone(719) 322-3128
Sole ProprietorNo
Enumeration DateOctober 26, 2021
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1144984212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10142 KEPPLER DR, San Diego, CA 92124
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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 Mitchell Heimlich's NPI number?

The NPI number for Mitchell Heimlich is 1144984212. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Mitchell Heimlich located?

Mitchell Heimlich practices at 10142 Keppler Dr, San Diego, CA 92124. The listed phone number is (719) 322-3128.

What is Mitchell Heimlich'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 Mitchell Heimlich was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.