MR. ENYICHI NATHANIEL NDUBUEZE SFIDC
NPI 1699107847
Military Health Care Provider - Independent Duty Corpsman in Chula Vista, CA

Active since July 30, 2013
660 GRETCHEN RD, CHULA VISTA, CA 91910(773) 679-9080 Get Directions Write a Review

NPPES record last updated: July 30, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Enyichi Nathaniel Ndubueze Sfidc NPPES

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

MR. ENYICHI NATHANIEL NDUBUEZE SFIDC (NPI 1699107847) is an individual independent duty corpsman provider in Chula Vista, California and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1699107847
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. ENYICHI NATHANIEL NDUBUEZECredential: SFIDC
Location Address660 GRETCHEN RDChula Vista, CA 91910-6258
Mailing Address660 Gretchen RdChula Vista, CA 91910-6258 · (773) 679-9080
Sole ProprietorNo
Enumeration DateJuly 30, 2013
NPI 1699107847 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.

660 GRETCHEN RD, Chula Vista, CA 91910

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699107847, enumerated as an "individual" on July 30, 2013.

The provider is located at 660 GRETCHEN RD CHULA VISTA, CA 91910 and the phone number is (773) 679-9080.

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.