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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAYMOND LACBAIN CREDO IDC
NPI 1396463261
Military Health Care Provider - Independent Duty Corpsman in Pearl Harbor, HI

Active since August 17, 2022
480 CENTRAL AVE, PEARL HARBOR, HI 96860(808) 474-4242 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2026, Aug 17, 2022 (2 updates tracked since 2022).

About Raymond Lacbain Credo Idc NPPES

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

RAYMOND LACBAIN CREDO IDC (NPI 1396463261) is an individual independent duty corpsman provider in Pearl Harbor, Hawaii and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1396463261
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameRAYMOND LACBAIN CREDOCredential: IDC
Location Address480 CENTRAL AVEPearl Harbor, HI 96860-4908
Mailing Address480 Central AvePearl Harbor, HI 96860-4908 · (808) 474-4242
Phone(808) 474-4242
Sole ProprietorNo
Enumeration DateAugust 17, 2022
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1396463261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
480 CENTRAL AVE, Pearl Harbor, HI 96860
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Other Providers at the Same Location NPPES 20

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

DR. JOHN KNOREK PH.D.
Psychologist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-4242
MR. DENNIS T SEKINE MS, MPH, CCC-A
Audiologist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-0628
MR. KEVIN THOMAS COHN HM2/P.T. TEHCNICIAN
Technician
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 257-8708
CHRISTOPHER G PELLEJERA O.D.
Optometrist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-4248
MR. DEMETRIUS PRUITT APRN
Nurse Practitioner (Family)
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 477-2600
TAYLOR ANNE STUBBLEFIELD IDC
Military Health Care Provider (Independent Duty Corpsman)
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (951) 442-2444
BENJAMIN CLARKSON JAMES DPT
Physical Therapist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 474-4242
MR. JUDE COLEMAN PHARMACIST
Pharmacist
480 CENTRAL AVE
PEARL HARBOR, HI 96860
Honolulu County (808) 473-1880

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 Raymond Credo's NPI number?

The NPI number for Raymond Credo is 1396463261. It was assigned to this individual provider in the NPPES registry on August 17, 2022.

Where is Raymond Credo located?

Raymond Credo practices at 480 Central Ave, Pearl Harbor, HI 96860. The listed phone number is (808) 474-4242.

What is Raymond Credo'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 Raymond Credo was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.