TITUS LUKE BAKER IDC
NPI 1386179810
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since April 21, 2017
2695 SHOUP DR, SAN DIEGO, CA 92110(931) 335-9190 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Titus Luke Baker Idc NPPES

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

TITUS LUKE BAKER IDC (NPI 1386179810) is an individual independent duty corpsman provider in San Diego, California, licensed in Tennessee (098639276) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1386179810
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameTITUS LUKE BAKERCredential: IDC
Location Address2695 SHOUP DRSan Diego, CA 92110-4268
Mailing Address2695 Shoup DrSan Diego, CA 92110-4268 · (931) 335-9190
Sole ProprietorNo
Enumeration DateApril 21, 2017
NPI 1386179810 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
License Licensed in TN · 098639276
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.

2695 SHOUP DR, San Diego, CA 92110

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 Titus Baker's NPI number?

The NPI number for Titus Baker is 1386179810. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Titus Baker located?

Titus Baker practices at 2695 Shoup Dr, San Diego, CA 92110. The listed phone number is (931) 335-9190.

What is Titus Baker'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 Titus Baker was last updated on April 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.