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MR. GERALD LEE FITZGERALD JR. NAVY IDC
NPI 1245498484
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since May 23, 2008
SURFACE WARFARE MEDICINE INSTITUTE, 3401 FARENHOLT AVENUE, SAN DIEGO, CA 92134(808) 375-1486(619) 532-5156 Get Directions Write a Review

NPPES record last updated: January 26, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Gerald Lee Fitzgerald Jr. Navy Idc NPPES

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

MR. GERALD LEE FITZGERALD JR. NAVY IDC (NPI 1245498484) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1245498484
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. GERALD LEE FITZGERALD JR.Credential: NAVY IDC
Location AddressSURFACE WARFARE MEDICINE INSTITUTE, 3401 FARENHOLT AVENUESan Diego, CA 92134-0001
Mailing AddressSurface Warfare Medicine Institute, 3401 Farenholt AvenueSan Diego, CA 92134-0001 · (808) 375-1486 · Fax (619) 532-5156
Phone(808) 375-1486
Fax(619) 532-5156
Sole ProprietorNo
Enumeration DateMay 23, 2008
Last NPPES UpdateJanuary 26, 2010
✔ NPI 1245498484 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.
SURFACE WARFARE MEDICINE INSTITUTE, San Diego, CA 92134
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT FRANK BOTT IDC
Military Health Care Provider (Independent Duty Corpsman)
SURFACE WARFARE MEDICINE INSTITUTE, 34101 FARENHOLT AVE
FPO, AP 92134
San Diego County (619) 532-9476

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 Gerald Fitzgerald's NPI number?

The NPI number for Gerald Fitzgerald is 1245498484. It was assigned to this individual provider in the NPPES registry on May 23, 2008.

Where is Gerald Fitzgerald located?

Gerald Fitzgerald practices at Surface Warfare Medicine Institute 3401 Farenholt Avenue, San Diego, CA 92134. The listed phone number is (808) 375-1486.

What is Gerald Fitzgerald'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 Gerald Fitzgerald was last updated on January 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.