JEREMY LEE SFIDC
NPI 1255945069
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since August 31, 2020
509 DENNERY RD APT 145, SAN DIEGO, CA 92154(916) 895-4954 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Lee Sfidc NPPES

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

JEREMY LEE SFIDC (NPI 1255945069) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1255945069
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameJEREMY LEECredential: SFIDC
Location Address509 DENNERY RD APT 145San Diego, CA 92154-8542
Mailing Address509 Dennery Rd Apt 145San Diego, CA 92154-8542
Sole ProprietorNo
Enumeration DateAugust 31, 2020
NPPES CertifiedAugust 31, 2020
NPI 1255945069 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.
509 DENNERY RD APT 145, 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 Jeremy Lee's NPI number?

The NPI number for Jeremy Lee is 1255945069. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Where is Jeremy Lee located?

Jeremy Lee practices at 509 Dennery Rd Apt 145, San Diego, CA 92154. The listed phone number is (916) 895-4954.

What is Jeremy Lee'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 Jeremy Lee was last updated on August 31, 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.