DANIEL LOUIS SEVERANCE
NPI 1205683182
Military Health Care Provider - Independent Duty Corpsman in Camp Pendleton, CA

Active since April 30, 2024
4101 STUART MESA RD., CAMP PENDLETON, CA 92055(760) 725-8912 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Daniel Louis Severance NPPES

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

DANIEL LOUIS SEVERANCE (NPI 1205683182) is an individual independent duty corpsman provider in Camp Pendleton, California, licensed in Ohio (TL108262) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1205683182
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameDANIEL LOUIS SEVERANCE
Location Address4101 STUART MESA RD.Camp Pendleton, CA 92055
Mailing Address4101 Stuart Mesa Rd.Camp Pendleton, CA 92055 · (760) 725-8912
Sole ProprietorNo
Enumeration DateApril 30, 2024
NPPES CertifiedApril 22, 2024
NPI 1205683182 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 OH · TL108262
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.
4101 STUART MESA RD., Camp Pendleton, CA 92055

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 Severance's NPI number?

The NPI number for Daniel Severance is 1205683182. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Daniel Severance located?

Daniel Severance practices at 4101 Stuart Mesa Rd., Camp Pendleton, CA 92055. The listed phone number is (760) 725-8912.

What is Daniel Severance'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 Severance was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.