MARTINA JONES MADDOX IDC
NPI 1255828646
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since April 20, 2018
857 16TH ST, SAN DIEGO, CA 92154(909) 730-6756 Get Directions Write a Review

NPPES record last updated: April 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martina Jones Maddox Idc NPPES

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

MARTINA JONES MADDOX IDC (NPI 1255828646) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1255828646
Entity TypeIndividualFemale
Primary Taxonomy1710I1002X
Provider Legal NameMARTINA JONES MADDOXCredential: IDC
Location Address857 16TH STSan Diego, CA 92154-1917
Mailing Address857 16th StSan Diego, CA 92154-1917 · (909) 730-6756
Sole ProprietorNo
Enumeration DateApril 20, 2018
NPI 1255828646 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.
857 16TH ST, San Diego, CA 92154

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 Martina Maddox's NPI number?

The NPI number for Martina Maddox is 1255828646. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Where is Martina Maddox located?

Martina Maddox practices at 857 16th St, San Diego, CA 92154. The listed phone number is (909) 730-6756.

What is Martina Maddox'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 Martina Maddox was last updated on April 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.