MATTHEW ADAM MAMASIG IDC
NPI 1265268791
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Matthew Mamasig's NPI number?

The NPI number for Matthew Mamasig is 1265268791. It was assigned to this individual provider in the NPPES registry on September 11, 2024.

Q: What is Matthew Mamasig'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 Matthew Mamasig was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 September 11, 2024

34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 479-9909 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Matthew Adam Mamasig Idc NPPES

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

MATTHEW ADAM MAMASIG IDC (NPI 1265268791) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1265268791

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMATTHEW ADAM MAMASIGCredential: IDC

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address2620 Dusk DrSan Diego, CA 92139-2414 · (619) 392-6620

Phone(619) 479-9909

Sole ProprietorNo

Enumeration DateSeptember 11, 2024

NPPES CertifiedSeptember 11, 2024

✔ NPI 1265268791 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.

34800 BOB WILSON DR, San Diego, CA 92134

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