JESSE ANTONIO PACHECO
NPI 1205678737
Military Health Care Provider - Independent Duty Corpsman in Portsmouth, VA

Active since June 06, 2024
USCGC ESCANABA, 4000 COAST GUARD BLVD, PORTSMOUTH, VA 23703(757) 483-8431 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2024, Jun 27, 2024, Jun 6, 2024 (3 updates tracked since 2024).

About Jesse Antonio Pacheco NPPES

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

JESSE ANTONIO PACHECO (NPI 1205678737) is an individual independent duty corpsman provider in Portsmouth, Virginia and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1205678737
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameJESSE ANTONIO PACHECO
Location AddressUSCGC ESCANABA, 4000 COAST GUARD BLVDPortsmouth, VA 23703-2135
Mailing Address2494 Boyington PlEl Cajon, CA 92020-1701 · (402) 616-7892
Sole ProprietorNo
Enumeration DateJune 6, 2024
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
NPI 1205678737 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.
USCGC ESCANABA, Portsmouth, VA 23703

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 Jesse Pacheco's NPI number?

The NPI number for Jesse Pacheco is 1205678737. It was assigned to this individual provider in the NPPES registry on June 6, 2024.

Where is Jesse Pacheco located?

Jesse Pacheco practices at Uscgc Escanaba 4000 Coast Guard Blvd, Portsmouth, VA 23703. The listed phone number is (757) 483-8431.

What is Jesse Pacheco'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 Jesse Pacheco was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.