JOSHUA BRENT DEHAVEN IDC
NPI 1457638546
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Joshua Dehaven's NPI number?

The NPI number for Joshua Dehaven is 1457638546. It was assigned to this individual provider in the NPPES registry on November 3, 2011.

Q: What is Joshua Dehaven'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 Joshua Dehaven was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 November 03, 2011

2642 TRIDENT WAY BLDG 616, SAN DIEGO, CA 92155(331) 425-9749 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Joshua Brent Dehaven Idc NPPES

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

JOSHUA BRENT DEHAVEN IDC (NPI 1457638546) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1457638546

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameJOSHUA BRENT DEHAVENCredential: IDC

Location Address2642 TRIDENT WAY BLDG 616San Diego, CA 92155-5492

Mailing Address34101 Farenholt Ave Bldg 14San Diego, CA 92134-7000 · (331) 425-9749

Phone(331) 425-9749

Sole ProprietorYes

Enumeration DateNovember 3, 2011

✔ NPI 1457638546 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.

2642 TRIDENT WAY BLDG 616, San Diego, CA 92155

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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 Joshua Dehaven's NPI number?

The NPI number for Joshua Dehaven is 1457638546. It was assigned to this individual provider in the NPPES registry on November 3, 2011.

Where is Joshua Dehaven located?

Joshua Dehaven practices at 2642 Trident Way Bldg 616, San Diego, CA 92155. The listed phone number is (331) 425-9749.

What is Joshua Dehaven'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 Joshua Dehaven was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.