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IVAN MILLS IDC
NPI 1689044174
Military Health Care Provider - Independent Duty Corpsman in Bonita, CA

Active since September 28, 2015
371 CAMINO ELEVADO, BONITA, CA 91902(404) 889-5310 Get Directions Write a Review

NPPES record last updated: September 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivan Mills Idc NPPES

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

IVAN MILLS IDC (NPI 1689044174) is an individual independent duty corpsman provider in Bonita, California and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1689044174
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameIVAN MILLSCredential: IDC
Location Address371 CAMINO ELEVADOBonita, CA 91902-2430
Mailing Address371 Camino ElevadoBonita, CA 91902-2430 · (404) 889-5310
Phone(404) 889-5310
Sole ProprietorNo
Enumeration DateSeptember 28, 2015
✔ NPI 1689044174 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.
371 CAMINO ELEVADO, Bonita, CA 91902
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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 Ivan Mills's NPI number?

The NPI number for Ivan Mills is 1689044174. It was assigned to this individual provider in the NPPES registry on September 28, 2015.

Where is Ivan Mills located?

Ivan Mills practices at 371 Camino Elevado, Bonita, CA 91902. The listed phone number is (404) 889-5310.

What is Ivan Mills'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 Ivan Mills was last updated on September 28, 2015. 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.