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MR. JOHN CHARLES AVERELL IDC
NPI 1255589784
Military Health Care Provider - Independent Duty Corpsman in Apo, AP

Active since September 09, 2008
NAVAL MEDICAL CENTER SAN DIEGO, BLDG 14, APO, AP 92134(619) 532-5110 Get Directions Write a Review

NPPES record last updated: September 9, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. John Charles Averell Idc NPPES

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

MR. JOHN CHARLES AVERELL IDC (NPI 1255589784) is an individual independent duty corpsman provider in Apo, AP and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1255589784
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. JOHN CHARLES AVERELLCredential: IDC
Location AddressNAVAL MEDICAL CENTER SAN DIEGO, BLDG 14Apo, AP 92134
Mailing Address1298 Fools Gold Way #2Chula Vista, CA 91913 · (619) 532-5110
Phone(619) 532-5110
Sole ProprietorNo
Enumeration DateSeptember 9, 2008
✔ NPI 1255589784 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.
NAVAL MEDICAL CENTER SAN DIEGO, Apo, AP 92134
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Other Providers at the Same Location NPPES 20

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

LUKE MCLAIN
Physician Assistant
NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA 92134
San Diego County (808) 753-7192
MR. JOSEPH E LANYON IDC
Military Health Care Provider (Independent Duty Corpsman)
NAVAL MEDICAL CENTER SAN DIEGO, MILITARY HEALTH CENTER
SAN DIEGO, CA 92134
San Diego County (619) 532-5839
AUDREY BUXTON LEE D.D.S
Dentist
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7935
KYLE CARR MD
Military Health Care Provider
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-8274
JONATHAN ANDREW DEINARD NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7809
DR. TYLER MARTINI D.D.S.
Student in an Organized Health Care Education/Training Program
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7935
MARILYN ANDERSEN D.D.S.
Dentist (Oral and Maxillofacial Surgery)
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7935
DR. NICHOLAS CONSTANTINE PETIKAS PH.D., ABPP
Psychologist (Clinical)
NAVAL MEDICAL CENTER SAN DIEGO, 34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 453-6591

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 John Averell's NPI number?

The NPI number for John Averell is 1255589784. It was assigned to this individual provider in the NPPES registry on September 9, 2008.

Where is John Averell located?

John Averell practices at Naval Medical Center San Diego Bldg 14, Apo, AP 92134. The listed phone number is (619) 532-5110.

What is John Averell'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 John Averell was last updated on September 9, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.