NICHOLAS FARRIS SOIDC
NPI 1275113128
Military Health Care Provider - Independent Duty Corpsman in Camp Pendleton, CA

Q: What is Nicholas Farris's NPI number?

The NPI number for Nicholas Farris is 1275113128. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Q: What is Nicholas Farris'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 Nicholas Farris was last updated on April 13, 2021. 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 April 13, 2021

4101 STUART MESA ROAD, CAMP PENDLETON, CA 92055(760) 763-2118 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicholas Farris Soidc NPPES

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

NICHOLAS FARRIS SOIDC (NPI 1275113128) is an individual independent duty corpsman provider in Camp Pendleton, California and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1275113128

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameNICHOLAS FARRISCredential: SOIDC

Location Address4101 STUART MESA ROADCamp Pendleton, CA 92055

Mailing Address1st Reconnaissance Battalion, Psc Box 555584, 4101 Stuart Mesa RoadCamp Pendleton, CA 92055 · (540) 446-9171

Phone(760) 763-2118

Sole ProprietorNo

Enumeration DateApril 13, 2021

NPPES CertifiedMarch 22, 2021

✔ NPI 1275113128 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.

4101 STUART MESA ROAD, Camp Pendleton, CA 92055

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Other Providers at the Same Location NPPES

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

MORGAN LYN GOODING

Military Health Care Provider (Independent Duty Corpsman)

4101 STUART MESA ROAD
CAMP PENDLETON, CA 92055

San Diego County (760) 725-8912

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 Nicholas Farris's NPI number?

The NPI number for Nicholas Farris is 1275113128. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Nicholas Farris located?

Nicholas Farris practices at 4101 Stuart Mesa Road, Camp Pendleton, CA 92055. The listed phone number is (760) 763-2118.

What is Nicholas Farris'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 Nicholas Farris was last updated on April 13, 2021. 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.