MR. JASPER LELIS SANTILLAN JR. IDC
NPI 1265145536
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Q: What is Jasper Santillan's NPI number?

The NPI number for Jasper Santillan is 1265145536. It was assigned to this individual provider in the NPPES registry on January 3, 2023.

Q: What is Jasper Santillan'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 Jasper Santillan was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 03, 2023

117 DEERWOOD DR, GROTON, CT 06340(760) 500-7763 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Jasper Lelis Santillan Jr. Idc NPPES

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

MR. JASPER LELIS SANTILLAN JR. IDC (NPI 1265145536) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1265145536

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. JASPER LELIS SANTILLAN JR.Credential: IDC

Location Address117 DEERWOOD DRGroton, CT 06340-2546

Mailing Address117 Deerwood DrGroton, CT 06340-2546 · (760) 500-7763

Phone(760) 500-7763

Sole ProprietorNo

Enumeration DateJanuary 3, 2023

NPPES CertifiedJanuary 3, 2023

✔ NPI 1265145536 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.

117 DEERWOOD DR, Groton, CT 06340

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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 Jasper Santillan's NPI number?

The NPI number for Jasper Santillan is 1265145536. It was assigned to this individual provider in the NPPES registry on January 3, 2023.

Where is Jasper Santillan located?

Jasper Santillan practices at 117 Deerwood Dr, Groton, CT 06340. The listed phone number is (760) 500-7763.

What is Jasper Santillan'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 Jasper Santillan was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.