MR. MAURICE KIM TANJUAQUIO IDC
NPI 1205268349
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Maurice Tanjuaquio's NPI number?

The NPI number for Maurice Tanjuaquio is 1205268349. It was assigned to this individual provider in the NPPES registry on July 31, 2013.

Q: What is Maurice Tanjuaquio's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Active since July 31, 2013

3913 INGRAHAM ST APT U309, SAN DIEGO, CA 92109(619) 518-4329 Get Directions Write a Review

NPPES record last updated: July 31, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mr. Maurice Kim Tanjuaquio Idc NPPES

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

MR. MAURICE KIM TANJUAQUIO IDC (NPI 1205268349) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1205268349

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. MAURICE KIM TANJUAQUIOCredential: IDC

Location Address3913 INGRAHAM ST APT U309San Diego, CA 92109-5918

Mailing Address3913 Ingraham St Apt U309San Diego, CA 92109-5918 · (619) 518-4329

Phone(619) 518-4329

Sole ProprietorNo

Enumeration DateJuly 31, 2013

✔ NPI 1205268349 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.

3913 INGRAHAM ST APT U309, 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 Maurice Tanjuaquio's NPI number?

The NPI number for Maurice Tanjuaquio is 1205268349. It was assigned to this individual provider in the NPPES registry on July 31, 2013.

Where is Maurice Tanjuaquio located?

Maurice Tanjuaquio practices at 3913 Ingraham St Apt U309, San Diego, CA 92109. The listed phone number is (619) 518-4329.

What is Maurice Tanjuaquio'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 Maurice Tanjuaquio was last updated on July 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.