MR. JERRY K ROSHELL
NPI 1629410923
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Jerry Roshell's NPI number?

The NPI number for Jerry Roshell is 1629410923. It was assigned to this individual provider in the NPPES registry on July 27, 2013.

Q: What is Jerry Roshell'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 Jerry Roshell was last updated on July 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 July 27, 2013

6077 FAUNA DR, SAN DIEGO, CA 92115(414) 530-4079 Get Directions Write a Review

NPPES record last updated: July 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Jerry K Roshell NPPES

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

MR. JERRY K ROSHELL (NPI 1629410923) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1629410923

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. JERRY K ROSHELL

Location Address6077 FAUNA DRSan Diego, CA 92115-8215

Mailing Address6077 Fauna DrSan Diego, CA 92115-8215 · (414) 530-4079

Phone(414) 530-4079

Sole ProprietorYes

Enumeration DateJuly 27, 2013

✔ NPI 1629410923 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.

6077 FAUNA DR, San Diego, CA 92115

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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 Jerry Roshell's NPI number?

The NPI number for Jerry Roshell is 1629410923. It was assigned to this individual provider in the NPPES registry on July 27, 2013.

Where is Jerry Roshell located?

Jerry Roshell practices at 6077 Fauna Dr, San Diego, CA 92115. The listed phone number is (414) 530-4079.

What is Jerry Roshell'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 Jerry Roshell was last updated on July 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.