JONATHAN LYON
NPI 1427790419
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Jonathan Lyon's NPI number?

The NPI number for Jonathan Lyon is 1427790419. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Q: What is Jonathan Lyon'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 Jonathan Lyon was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 10, 2022

34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6400 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 21, 2022, Apr 10, 2022 (2 updates tracked since 2022).

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About Jonathan Lyon NPPES

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

JONATHAN LYON (NPI 1427790419) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1427790419

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameJONATHAN LYON

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address34101 Farenholt Ave Bldg 14San Diego, CA 92134-7000

Phone(619) 532-6400

Sole ProprietorNo

Enumeration DateApril 10, 2022

Last NPPES UpdateSeptember 21, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2022

✔ NPI 1427790419 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

34800 BOB WILSON DR, San Diego, CA 92134

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Other Providers at the Same Location NPPES 20

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