STEPHON PEYTON FROST SFIDC
NPI 1255943635
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Stephon Frost's NPI number?

The NPI number for Stephon Frost is 1255943635. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Q: What is Stephon Frost's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Stephon Frost was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 18, 2020

2654 MENDONCA DR, SAN DIEGO, CA 92110(518) 961-6153 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2020, Aug 18, 2020 (2 updates tracked since 2020).

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About Stephon Peyton Frost Sfidc NPPES

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

STEPHON PEYTON FROST SFIDC (NPI 1255943635) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1255943635

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameSTEPHON PEYTON FROSTCredential: SFIDC

Location Address2654 MENDONCA DRSan Diego, CA 92110-4263

Mailing AddressPo Box 280046Jacksonville, FL 32228-0046 · (904) 270-3806

Phone(518) 961-6153

Sole ProprietorYes

Enumeration DateAugust 18, 2020

Last NPPES UpdateDecember 29, 20202 updates tracked since enumeration

NPPES CertifiedDecember 29, 2020

✔ NPI 1255943635 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.

2654 MENDONCA DR, San Diego, CA 92110

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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 Stephon Frost's NPI number?

The NPI number for Stephon Frost is 1255943635. It was assigned to this individual provider in the NPPES registry on August 18, 2020.

Where is Stephon Frost located?

Stephon Frost practices at 2654 Mendonca Dr, San Diego, CA 92110. The listed phone number is (518) 961-6153.

What is Stephon Frost'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 Stephon Frost was last updated on December 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.