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ANGEL OMAR VICENTE
NPI 1457658924
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since February 18, 2011
34101 FARENHOLT AVE, BUILDING #14, SAN DIEGO, CA 92134(619) 532-6233 Get Directions Write a Review

NPPES record last updated: February 18, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Angel Omar Vicente NPPES

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

ANGEL OMAR VICENTE (NPI 1457658924) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1457658924
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameANGEL OMAR VICENTE
Location Address34101 FARENHOLT AVE, BUILDING #14San Diego, CA 92134-5291
Mailing Address34101 Farenholt Ave, Building #14San Diego, CA 92134-5291 · (619) 532-6233
Phone(619) 532-6233
Sole ProprietorNo
Enumeration DateFebruary 18, 2011
✔ NPI 1457658924 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.

34101 FARENHOLT AVE, San Diego, CA 92134
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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.

MISS ANNA GRUETZMACHER FNP-C, RN
Nurse Practitioner (Family)
34101 FARENHOLT AVE, NSHS-SD IDC
SAN DIEGO, CA 92134
San Diego County (619) 532-7763
MR. CARLOS M. COLEMAN IDC
Military Health Care Provider (Independent Duty Medical Technicians)
34101 FARENHOLT AVE, NSHS-SD IDC DEPT
SAN DIEGO, CA 92134
San Diego County (619) 532-5109
KELLY A CAMPBELL
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE, BLDG 14 RM 230
SAN DIEGO, CA 92134
San Diego County (619) 532-5104
JARED JAMES GOODROW NAVY IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE, NAVAL SCHOOL OF HEALTH SCIENCES
SAN DIEGO, CA 92134
San Diego County (619) 532-5744
MR. DAVID JESSE LASH PA-C
Physician Assistant (Medical)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-9494
JEFF CAVALLO
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE, NAVAL SCHOOL OF HEALTH SCIENCE (SFIDC)
SAN DIEGO, CA 92134
San Diego County (619) 532-9429
MR. MICHAEL LEGASPI IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-6054
MR. RENE CALAMPINAY CARDINAL IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-5750

Frequently Asked Questions

What is Angel Vicente's NPI number?

The NPI number assigned to this healthcare provider is 1457658924, enumerated as an "individual" on February 18, 2011.

Where is the provider located?

The provider is located at 34101 FARENHOLT AVE BUILDING #14 SAN DIEGO, CA 92134 and the phone number is (619) 532-6233.

What is the provider's specialty?

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.