MR. OSAZUWA MICHAEL IGHOOSAGIE IDC
NPI 1619442860
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Osazuwa Ighoosagie's NPI number?

The NPI number for Osazuwa Ighoosagie is 1619442860. It was assigned to this individual provider in the NPPES registry on October 3, 2018.

Q: What is Osazuwa Ighoosagie's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Active since October 03, 2018

34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-9712 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Osazuwa Michael Ighoosagie Idc NPPES

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

MR. OSAZUWA MICHAEL IGHOOSAGIE IDC (NPI 1619442860) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1619442860

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. OSAZUWA MICHAEL IGHOOSAGIECredential: IDC

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address1870 Pisa CirStockton, CA 95206-6321 · (209) 430-0676

Phone(619) 532-9712

Sole ProprietorNo

Enumeration DateOctober 3, 2018

✔ NPI 1619442860 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.

34800 BOB WILSON DR, 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.

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