MR. MATTHEW HART
NPI 1508417510
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Matthew Hart's NPI number?

The NPI number for Matthew Hart is 1508417510. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Q: What is Matthew Hart'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 Matthew Hart was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 23, 2019

3400 BOB WILSON DRIVE, SAN DIEGO, CA 92134(912) 547-4013 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Matthew Hart NPPES

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

MR. MATTHEW HART (NPI 1508417510) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1508417510

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. MATTHEW HART

Location Address3400 BOB WILSON DRIVESan Diego, CA 92134-0001

Mailing Address6829 Ga Highway 17 SBloomingdale, GA 31302-4610 · (912) 547-4013

Phone(912) 547-4013

Sole ProprietorYes

Enumeration DateSeptember 23, 2019

✔ NPI 1508417510 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.

3400 BOB WILSON DRIVE, 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.

DR. LINDSAY JANILYN TREPPA DDS

Dentist

3400 BOB WILSON DRIVE
SAN DIEGO, CA 92134

San Diego County (619) 532-7395

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 Matthew Hart's NPI number?

The NPI number for Matthew Hart is 1508417510. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Where is Matthew Hart located?

Matthew Hart practices at 3400 Bob Wilson Drive, San Diego, CA 92134. The listed phone number is (912) 547-4013.

What is Matthew Hart'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 Matthew Hart was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.