PHILLIP ALAN MISHAGA IDC
NPI 1649600321
Military Health Care Provider - Independent Duty Corpsman in Roseville, CA

Q: What is Phillip Mishaga's NPI number?

The NPI number for Phillip Mishaga is 1649600321. It was assigned to this individual provider in the NPPES registry on November 18, 2013.

Q: What is Phillip Mishaga'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 Phillip Mishaga was last updated on November 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 November 18, 2013

9056 PINTO CANYON WAY, ROSEVILLE, CA 95747(251) 434-8000 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phillip Alan Mishaga Idc NPPES

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

PHILLIP ALAN MISHAGA IDC (NPI 1649600321) is an individual independent duty corpsman provider in Roseville, California and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1649600321

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NamePHILLIP ALAN MISHAGACredential: IDC

Location Address9056 PINTO CANYON WAYRoseville, CA 95747-7108

Mailing Address9056 Pinto Canyon WayRoseville, CA 95747-7108 · (251) 434-8000

Phone(251) 434-8000

Sole ProprietorNo

Enumeration DateNovember 18, 2013

✔ NPI 1649600321 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.

9056 PINTO CANYON WAY, Roseville, CA 95747

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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 Phillip Mishaga's NPI number?

The NPI number for Phillip Mishaga is 1649600321. It was assigned to this individual provider in the NPPES registry on November 18, 2013.

Where is Phillip Mishaga located?

Phillip Mishaga practices at 9056 Pinto Canyon Way, Roseville, CA 95747. The listed phone number is (251) 434-8000.

What is Phillip Mishaga'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 Phillip Mishaga was last updated on November 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.