MICHAEL THOMAS SHORT
NPI 1184046815
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since January 15, 2014
15034 AVENIDA MONTUOSA, APT B, SAN DIEGO, CA 92129(949) 682-6918 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Thomas Short NPPES

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

MICHAEL THOMAS SHORT (NPI 1184046815) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1184046815
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMICHAEL THOMAS SHORT
Location Address15034 AVENIDA MONTUOSA, APT BSan Diego, CA 92129-1442
Mailing Address15034 Avenida Montuosa, Apt BSan Diego, CA 92129-1442 · (949) 682-6918
Sole ProprietorNo
Enumeration DateJanuary 15, 2014
NPI 1184046815 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.
15034 AVENIDA MONTUOSA, San Diego, CA 92129

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 Michael Short's NPI number?

The NPI number for Michael Short is 1184046815. It was assigned to this individual provider in the NPPES registry on January 15, 2014.

Where is Michael Short located?

Michael Short practices at 15034 Avenida Montuosa Apt B, San Diego, CA 92129. The listed phone number is (949) 682-6918.

What is Michael Short'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 Michael Short was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.