THOMAS CLEON JORGENSEN DEEP SEA DIVING IDC
NPI 1316725633
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since September 18, 2023
4588 50TH ST, SAN DIEGO, CA 92115(850) 530-5141 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas Cleon Jorgensen Deep Sea Diving Idc NPPES

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

THOMAS CLEON JORGENSEN DEEP SEA DIVING IDC (NPI 1316725633) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1316725633
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameTHOMAS CLEON JORGENSENCredential: DEEP SEA DIVING IDC
Location Address4588 50TH STSan Diego, CA 92115-3305
Mailing Address4588 50th StSan Diego, CA 92115-3305 · (850) 530-5141
Sole ProprietorYes
Enumeration DateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
NPI 1316725633 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.
4588 50TH ST, San Diego, CA 92115

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 Thomas Jorgensen's NPI number?

The NPI number for Thomas Jorgensen is 1316725633. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Where is Thomas Jorgensen located?

Thomas Jorgensen practices at 4588 50th St, San Diego, CA 92115. The listed phone number is (850) 530-5141.

What is Thomas Jorgensen'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 Thomas Jorgensen was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.