MR. PETER SORIBEN QUEJADO II IDC
NPI 1508164278
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Peter Quejado's NPI number?

The NPI number for Peter Quejado is 1508164278. It was assigned to this individual provider in the NPPES registry on March 4, 2011.

Q: What is Peter Quejado'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 Peter Quejado was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 March 04, 2011

SWMI, 34101 FARENHOLT AVE, SAN DIEGO, CA 92134(619) 518-9139 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Peter Soriben Quejado Ii Idc NPPES

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

MR. PETER SORIBEN QUEJADO II IDC (NPI 1508164278) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1508164278

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. PETER SORIBEN QUEJADO IICredential: IDC

Location AddressSWMI, 34101 FARENHOLT AVESan Diego, CA 92134-0001

Mailing AddressSwmi, 34101 Farenholt AveSan Diego, CA 92134-0001 · (619) 518-9139

Phone(619) 518-9139

Sole ProprietorNo

Enumeration DateMarch 4, 2011

✔ NPI 1508164278 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.

SWMI, San Diego, CA 92134

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARRELL TIMPA IDC

Military Health Care Provider (Independent Duty Corpsman)

SWMI, 34101 FARENHOLT AVE
SAN DIEGO, CA 92134

San Diego County (619) 532-5544

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 Peter Quejado's NPI number?

The NPI number for Peter Quejado is 1508164278. It was assigned to this individual provider in the NPPES registry on March 4, 2011.

Where is Peter Quejado located?

Peter Quejado practices at Swmi 34101 Farenholt Ave, San Diego, CA 92134. The listed phone number is (619) 518-9139.

What is Peter Quejado'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 Peter Quejado was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.