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ZACHARY HALEY
NPI 1164097366
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since May 21, 2021
3913 INGRAHAM ST APT U209, SAN DIEGO, CA 92109(508) 409-9408 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2022, May 21, 2021 (2 updates tracked since 2021).

About Zachary Haley NPPES

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

ZACHARY HALEY (NPI 1164097366) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since May 2021. He maintains a secondary practice location in Fpo.

NPPES Registry Identity

NPI1164097366
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameZACHARY HALEY
Location Address3913 INGRAHAM ST APT U209San Diego, CA 92109-5921
Mailing Address3913 Ingraham St Apt U209San Diego, CA 92109-5921 · (508) 409-9408
Phone(508) 409-9408
Sole ProprietorNo
Enumeration DateMay 21, 2021
Last NPPES UpdateApril 4, 20222 updates tracked since enumeration
NPPES CertifiedApril 4, 2022
✔ NPI 1164097366 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
3913 INGRAHAM ST APT U209, San Diego, CA 92109
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Secondary Practice Location 1

Location 1surface warfare medical instituteFPO, AE 09582 · Phone (508) 409-9408

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 Zachary Haley's NPI number?

The NPI number for Zachary Haley is 1164097366. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Zachary Haley located?

Zachary Haley practices at 3913 Ingraham St Apt U209, San Diego, CA 92109. The listed phone number is (508) 409-9408.

What is Zachary Haley'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 Zachary Haley was last updated on April 4, 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.