DANIEL GRANT REDIFER SOIDC
NPI 1205487212
Military Health Care Provider - Independent Duty Corpsman in Camp Pendleton, CA

Q: What is Daniel Redifer's NPI number?

The NPI number for Daniel Redifer is 1205487212. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Q: What is Daniel Redifer'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 Daniel Redifer was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 23, 2019

1MRB 555341, CAMP PENDLETON, CA 92055(760) 725-5298 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Daniel Grant Redifer Soidc NPPES

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

DANIEL GRANT REDIFER SOIDC (NPI 1205487212) is an individual independent duty corpsman provider in Camp Pendleton, California and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1205487212

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameDANIEL GRANT REDIFERCredential: SOIDC

Location Address1MRB 555341Camp Pendleton, CA 92055

Mailing AddressPo Box 555341Camp Pendleton, CA 92055-5341 · (760) 725-5298

Phone(760) 725-5298

Sole ProprietorNo

Enumeration DateSeptember 23, 2019

✔ NPI 1205487212 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.

1MRB 555341, Camp Pendleton, CA 92055

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Other Identifiers 1

Other1397071622Usn

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 Daniel Redifer's NPI number?

The NPI number for Daniel Redifer is 1205487212. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Daniel Redifer located?

Daniel Redifer practices at 1mrb 555341, Camp Pendleton, CA 92055. The listed phone number is (760) 725-5298.

What is Daniel Redifer'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 Daniel Redifer was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.