MR. KEVIN GOOCH IDC
NPI 1639571359
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Kevin Gooch's NPI number?

The NPI number for Kevin Gooch is 1639571359. It was assigned to this individual provider in the NPPES registry on September 24, 2014.

Q: What is Kevin Gooch'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 Kevin Gooch was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 24, 2014

4221 34TH ST, APT #25, SAN DIEGO, CA 92104(760) 365-7375 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mr. Kevin Gooch Idc NPPES

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

MR. KEVIN GOOCH IDC (NPI 1639571359) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1639571359

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. KEVIN GOOCHCredential: IDC

Location Address4221 34TH ST, APT #25San Diego, CA 92104-1400

Mailing Address4221 34th St, Apt #25San Diego, CA 92104-1400 · (910) 388-4929

Phone(760) 365-7375

Sole ProprietorYes

Enumeration DateSeptember 24, 2014

Last NPPES UpdateFebruary 8, 2017

✔ NPI 1639571359 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.

4221 34TH ST, San Diego, CA 92104

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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 Kevin Gooch's NPI number?

The NPI number for Kevin Gooch is 1639571359. It was assigned to this individual provider in the NPPES registry on September 24, 2014.

Where is Kevin Gooch located?

Kevin Gooch practices at 4221 34th St Apt #25, San Diego, CA 92104. The listed phone number is (760) 365-7375.

What is Kevin Gooch'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 Kevin Gooch was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.