MR. JEFFREY J HICKMAN IDC
NPI 1467703868
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Jeffrey Hickman's NPI number?

The NPI number for Jeffrey Hickman is 1467703868. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Q: What is Jeffrey Hickman'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 Jeffrey Hickman was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 September 25, 2012

3475 SENN RD BLDG 91, SAN DIEGO, CA 92136(619) 556-0488 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mr. Jeffrey J Hickman Idc NPPES

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

MR. JEFFREY J HICKMAN IDC (NPI 1467703868) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1467703868

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. JEFFREY J HICKMANCredential: IDC

Location Address3475 SENN RD BLDG 91San Diego, CA 92136-5289

Mailing Address3475 Senn Rd Bldg 91San Diego, CA 92136-5289 · (619) 556-0488

Phone(619) 556-0488

Sole ProprietorNo

Enumeration DateSeptember 25, 2012

Last NPPES UpdateJanuary 24, 2019

✔ NPI 1467703868 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.

3475 SENN RD BLDG 91, San Diego, CA 92136

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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 Jeffrey Hickman's NPI number?

The NPI number for Jeffrey Hickman is 1467703868. It was assigned to this individual provider in the NPPES registry on September 25, 2012.

Where is Jeffrey Hickman located?

Jeffrey Hickman practices at 3475 Senn Rd Bldg 91, San Diego, CA 92136. The listed phone number is (619) 556-0488.

What is Jeffrey Hickman'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 Jeffrey Hickman was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.