WARREN MICHAEL WILSON IDC
NPI 1659089969
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Warren Wilson's NPI number?

The NPI number for Warren Wilson is 1659089969. It was assigned to this individual provider in the NPPES registry on November 7, 2022.

Q: What is Warren Wilson'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 Warren Wilson was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 07, 2022

1281 9TH AVE UNIT 524, SAN DIEGO, CA 92101(812) 549-2072 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Warren Michael Wilson Idc NPPES

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

WARREN MICHAEL WILSON IDC (NPI 1659089969) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1659089969

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameWARREN MICHAEL WILSONCredential: IDC

Location Address1281 9TH AVE UNIT 524San Diego, CA 92101-4642

Mailing Address1281 9th Ave Unit 524San Diego, CA 92101-4642 · (812) 549-2072

Phone(812) 549-2072

Sole ProprietorNo

Enumeration DateNovember 7, 2022

NPPES CertifiedNovember 7, 2022

✔ NPI 1659089969 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.

1281 9TH AVE UNIT 524, San Diego, CA 92101

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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 Warren Wilson's NPI number?

The NPI number for Warren Wilson is 1659089969. It was assigned to this individual provider in the NPPES registry on November 7, 2022.

Where is Warren Wilson located?

Warren Wilson practices at 1281 9th Ave Unit 524, San Diego, CA 92101. The listed phone number is (812) 549-2072.

What is Warren Wilson'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 Warren Wilson was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.