JEFFREY TYLER WHITSON IDC
NPI 1447606322
Military Health Care Provider - Independent Duty Medical Technicians in San Diego, CA

Active since May 10, 2016
34101 FARENHOLT AVE, BUILDING 14, SAN DIEGO, CA 92134(619) 543-0000 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey Tyler Whitson Idc NPPES

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

JEFFREY TYLER WHITSON IDC (NPI 1447606322) is an individual independent duty medical technicians provider in San Diego, California and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1447606322
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameJEFFREY TYLER WHITSONCredential: IDC
Location Address34101 FARENHOLT AVE, BUILDING 14San Diego, CA 92134-7000
Mailing Address720 Camino De La Reina, Apt 114San Diego, CA 92108-3236 · (912) 326-1579
Sole ProprietorNo
Enumeration DateMay 10, 2016
NPI 1447606322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
34101 FARENHOLT AVE, San Diego, CA 92134

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.

Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE, BLDG 14
SAN DIEGO, CA 92134

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 Jeffrey Whitson's NPI number?

The NPI number for Jeffrey Whitson is 1447606322. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Where is Jeffrey Whitson located?

Jeffrey Whitson practices at 34101 Farenholt Ave Building 14, San Diego, CA 92134. The listed phone number is (619) 543-0000.

What is Jeffrey Whitson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Jeffrey Whitson was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.