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WALTER JAVIER DESPRADEL QUINTANA MILITARY PROVIDER
NPI 1659159978
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since September 18, 2023
840 17TH ST APT 117, SAN DIEGO, CA 92101(619) 642-7162 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walter Javier Despradel Quintana Military Provider NPPES

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

WALTER JAVIER DESPRADEL QUINTANA MILITARY PROVIDER (NPI 1659159978) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1659159978
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameWALTER JAVIER DESPRADEL QUINTANACredential: MILITARY PROVIDER
Location Address840 17TH ST APT 117San Diego, CA 92101-6655
Mailing Address840 17th St Apt 117San Diego, CA 92101-6655 · (619) 642-7162
Phone(619) 642-7162
Sole ProprietorYes
Enumeration DateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1659159978 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.
840 17TH ST APT 117, 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 Walter Despradel Quintana's NPI number?

The NPI number for Walter Despradel Quintana is 1659159978. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Where is Walter Despradel Quintana located?

Walter Despradel Quintana practices at 840 17th St Apt 117, San Diego, CA 92101. The listed phone number is (619) 642-7162.

What is Walter Despradel Quintana'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 Walter Despradel Quintana was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.