TIMOTHY RYAN EDGAR IDC
NPI 1184059578
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Timothy Edgar's NPI number?

The NPI number for Timothy Edgar is 1184059578. It was assigned to this individual provider in the NPPES registry on September 4, 2013.

Q: What is Timothy Edgar'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 Timothy Edgar was last updated on September 4, 2013. 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.

Active since September 04, 2013

3883 INGRAHAM ST, APT #U309, SAN DIEGO, CA 92109(559) 975-5651 Get Directions Write a Review

NPPES record last updated: September 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Timothy Ryan Edgar Idc NPPES

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

TIMOTHY RYAN EDGAR IDC (NPI 1184059578) is an individual independent duty corpsman provider in San Diego, California, licensed in California (D6476308) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1184059578

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameTIMOTHY RYAN EDGARCredential: IDC

Location Address3883 INGRAHAM ST, APT #U309San Diego, CA 92109-6433

Mailing Address3883 Ingraham St, Apt #u309San Diego, CA 92109-6433 · (559) 975-5651

Phone(559) 975-5651

Sole ProprietorYes

Enumeration DateSeptember 4, 2013

✔ NPI 1184059578 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

License✔ Licensed in CA · D6476308

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.

3883 INGRAHAM ST, San Diego, CA 92109

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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 Timothy Edgar's NPI number?

The NPI number for Timothy Edgar is 1184059578. It was assigned to this individual provider in the NPPES registry on September 4, 2013.

Where is Timothy Edgar located?

Timothy Edgar practices at 3883 Ingraham St Apt #u309, San Diego, CA 92109. The listed phone number is (559) 975-5651.

What is Timothy Edgar'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 Timothy Edgar was last updated on September 4, 2013. 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.