RYAN MARMON IDC
NPI 1215645528
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since November 07, 2022
3170 DEERFLOWER RD, SAN DIEGO, CA 92115(936) 443-7078 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ryan Marmon Idc NPPES

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

RYAN MARMON IDC (NPI 1215645528) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1215645528
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameRYAN MARMONCredential: IDC
Location Address3170 DEERFLOWER RDSan Diego, CA 92115-7288
Mailing Address3170 Deerflower RdSan Diego, CA 92115-7288 · (936) 443-7078
Sole ProprietorNo
Enumeration DateNovember 7, 2022
NPPES CertifiedNovember 7, 2022
NPI 1215645528 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.
3170 DEERFLOWER RD, San Diego, CA 92115

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 Ryan Marmon's NPI number?

The NPI number for Ryan Marmon is 1215645528. It was assigned to this individual provider in the NPPES registry on November 7, 2022.

Where is Ryan Marmon located?

Ryan Marmon practices at 3170 Deerflower Rd, San Diego, CA 92115. The listed phone number is (936) 443-7078.

What is Ryan Marmon'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 Ryan Marmon was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.