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MR. MITCHEL GRANDE DEGUZMAN IDC
NPI 1487928057
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since February 29, 2012
34101 FARENHOLT AVE, BUILDING 14, SAN DIEGO, CA 92134(619) 252-8557 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mitchel Grande Deguzman Idc NPPES

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

MR. MITCHEL GRANDE DEGUZMAN IDC (NPI 1487928057) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1487928057
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. MITCHEL GRANDE DEGUZMANCredential: IDC
Location Address34101 FARENHOLT AVE, BUILDING 14San Diego, CA 92134-5291
Mailing AddressPo Box 555381Camp Pendleton, CA 92055-5381 · (760) 725-8805
Phone(619) 252-8557
Sole ProprietorNo
Enumeration DateFebruary 29, 2012
✔ NPI 1487928057 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.

CHRISTOPHER A WALLACE IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7801
MR. GABRIEL A MICHAELS IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (216) 701-4316
MR. GABRIEL JOSE SAN PEDRO IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
ALEXANDER BOX
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (843) 605-3091
CHANTE ALLI MOORE
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (215) 681-7866
MR. STEVEN R CURRIER JR. SURFACE IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
MARCO OLIVAREZ
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
MR. ANDREW BUD TAYLOR IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE, BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-6233

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 Mitchel Deguzman's NPI number?

The NPI number for Mitchel Deguzman is 1487928057. It was assigned to this individual provider in the NPPES registry on February 29, 2012.

Where is Mitchel Deguzman located?

Mitchel Deguzman practices at 34101 Farenholt Ave Building 14, San Diego, CA 92134. The listed phone number is (619) 252-8557.

What is Mitchel Deguzman'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 Mitchel Deguzman was last updated on February 29, 2012. 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.