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JARED BRUCE WOLLABER
NPI 1699537092
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since January 30, 2024
14 FARENHOLT AVE, SAN DIEGO, CA 92134(619) 399-6609 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jared Bruce Wollaber NPPES

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

JARED BRUCE WOLLABER (NPI 1699537092) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1699537092
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameJARED BRUCE WOLLABER
Location Address14 FARENHOLT AVESan Diego, CA 92134-0001
Mailing Address846 Spinnaker Point TerSan Diego, CA 92154-5836 · (304) 941-9791
Phone(619) 399-6609
Sole ProprietorNo
Enumeration DateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1699537092 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.
14 FARENHOLT AVE, San Diego, CA 92134
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARION PEQUENO
Military Health Care Provider (Independent Duty Corpsman)
14 FARENHOLT AVE
SAN DIEGO, CA 92134
San Diego County (619) 532-7968

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 Jared Wollaber's NPI number?

The NPI number for Jared Wollaber is 1699537092. It was assigned to this individual provider in the NPPES registry on January 30, 2024.

Where is Jared Wollaber located?

Jared Wollaber practices at 14 Farenholt Ave, San Diego, CA 92134. The listed phone number is (619) 399-6609.

What is Jared Wollaber'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 Jared Wollaber was last updated on January 30, 2024. 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.