MATTHEW NOWAK
NPI 1639622863
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Matthew Nowak's NPI number?

The NPI number for Matthew Nowak is 1639622863. It was assigned to this individual provider in the NPPES registry on July 23, 2016.

Q: What is Matthew Nowak'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 Nowak was last updated on July 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 23, 2016

34800 BOB WILSON DR, SWMI, SAN DIEGO, CA 92134(619) 532-6400 Get Directions Write a Review

NPPES record last updated: July 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Matthew Nowak NPPES

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

MATTHEW NOWAK (NPI 1639622863) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1639622863

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMATTHEW NOWAK

Location Address34800 BOB WILSON DR, SWMISan Diego, CA 92134-1098

Mailing Address34800 Bob Wilson Dr, SwmiSan Diego, CA 92134-1098

Phone(619) 532-6400

Sole ProprietorYes

Enumeration DateJuly 23, 2016

✔ NPI 1639622863 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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