MATTHEW JOSEPH GENTILE NAVY IDC
NPI 1205399136
Military Health Care Provider - Independent Duty Corpsman in Vista, CA

Active since April 08, 2019
442 FLORENCIA LN, VISTA, CA 92083(949) 466-2013 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Corpsman

About MATTHEW GENTILE

This page provides the complete NPI Profile along with additional information for Matthew Gentile, a provider established in Vista, California with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1205399136 assigned on April 2019. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1205399136 Verify this NPI
Provider Name
MATTHEW JOSEPH GENTILE NAVY IDC
Gender
Male
Entity Type
Individual
Location Address
442 FLORENCIA LN VISTA, CA 92083
Location Phone
(949) 466-2013
Mailing Address
442 FLORENCIA LN VISTA, CA 92083
Mailing Phone
(949) 466-2013
Is Sole Proprietor?
Yes
Enumeration Date
04-08-2019
Last Update Date
04-08-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Health Care Provider Independent Duty Corpsman

Taxonomy Code
1710I1002X
Type
Other Service Providers
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205399136, enumerated as an "individual" on April 08, 2019.

The provider is located at 442 FLORENCIA LN VISTA, CA 92083 and the phone number is (949) 466-2013.

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.