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THOMAS WILLIAM GORDON IDC
NPI 1356869473
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since September 08, 2017
34101 FARENHOLT AVENUE, BUILDING 14, SAN DIEGO, CA 92134(619) 532-7968 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas William Gordon Idc NPPES

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

THOMAS WILLIAM GORDON IDC (NPI 1356869473) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1356869473
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameTHOMAS WILLIAM GORDONCredential: IDC
Location Address34101 FARENHOLT AVENUE, BUILDING 14San Diego, CA 92134-5291
Mailing Address34101 Farenholt Ave Bldg 14San Diego, CA 92134-5291 · (619) 532-7968
Phone(619) 532-7968
Sole ProprietorYes
Enumeration DateSeptember 8, 2017
Last NPPES UpdateJuly 21, 2022
✔ NPI 1356869473 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.
34101 FARENHOLT AVENUE, San Diego, CA 92134
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Other Providers at the Same Location NPPES 2

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

PATRICK MUNIZ US NAVY IDC
Technician, Other
34101 FARENHOLT AVENUE, BUILDING 14
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
JUSTIN PAUL LACHNEY
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVENUE
SAN DIEGO, CA 92134
San Diego County (904) 451-7813

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 Gordon's NPI number?

The NPI number for Thomas Gordon is 1356869473. It was assigned to this individual provider in the NPPES registry on September 8, 2017.

Where is Thomas Gordon located?

Thomas Gordon practices at 34101 Farenholt Avenue Building 14, San Diego, CA 92134. The listed phone number is (619) 532-7968.

What is Thomas Gordon'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 Gordon was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.