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NICKOLAS VINCENT PONCE IDC
NPI 1265951305
Military Health Care Provider - Independent Duty Corpsman in Port Hueneme, CA

Active since September 10, 2017
162 1ST ST BLDG 1402, PORT HUENEME, CA 93043(805) 982-6320 Get Directions Write a Review

NPPES record last updated: September 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nickolas Vincent Ponce Idc NPPES

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

NICKOLAS VINCENT PONCE IDC (NPI 1265951305) is an individual independent duty corpsman provider in Port Hueneme, California and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1265951305
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameNICKOLAS VINCENT PONCECredential: IDC
Location Address162 1ST ST BLDG 1402Port Hueneme, CA 93043-4316
Mailing Address5585 Gloucester WayRiverside, CA 92506-3429
Phone(805) 982-6320
Sole ProprietorNo
Enumeration DateSeptember 10, 2017
✔ NPI 1265951305 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.
162 1ST ST BLDG 1402, Port Hueneme, CA 93043
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN MICHELLE ANDERSON
Physical Therapy Assistant
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6335
NAVAL HOSPITAL CAMP PENDLETON
Military/U.S. Coast Guard Pharmacy
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6411
MR. JAMES A KIRK MPT
Physical Therapist
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6335
DR. GYUTAE JIN DMD
Dentist (General Practice)
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6342
DR. GEOFFREY SAMUEL JACOBY MD
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6356
JASON JUNG DO
General Practice
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-6323
PATRICIA ROBERTS AU.D.
Audiologist
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (805) 982-3779
DR. ANDREW SULLIVAN D.O.
General Practice
162 1ST ST BLDG 1402
PORT HUENEME, CA 93043
Ventura County (936) 523-0454

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 Nickolas Ponce's NPI number?

The NPI number for Nickolas Ponce is 1265951305. It was assigned to this individual provider in the NPPES registry on September 10, 2017.

Where is Nickolas Ponce located?

Nickolas Ponce practices at 162 1st St Bldg 1402, Port Hueneme, CA 93043. The listed phone number is (805) 982-6320.

What is Nickolas Ponce'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 Nickolas Ponce was last updated on September 10, 2017. 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.