COREY JEVON BUCHANAN
NPI 1710451398
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since January 16, 2019
NAVAL MEDICAL CENTER BALBOA 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134(619) 640-0155 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corey Jevon Buchanan NPPES

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

COREY JEVON BUCHANAN (NPI 1710451398) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since January 2019. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1710451398
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameCOREY JEVON BUCHANAN
Location AddressNAVAL MEDICAL CENTER BALBOA 34800 BOB WILSON DRIVESan Diego, CA 92134-0001
Mailing Address3535 Monroe Ave Unit 30San Diego, CA 92116-3590 · (361) 720-5257
Sole ProprietorYes
Enumeration DateJanuary 16, 2019
NPI 1710451398 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.
NAVAL MEDICAL CENTER BALBOA 34800 BOB WILSON DRIVE, San Diego, CA 92134

Secondary Practice Location 1

Location 1Naval Medical Center Balboa 34800 Bob Wilson DriveSan Diego, CA 92134-0001 · Phone (619) 640-0155

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 Corey Buchanan's NPI number?

The NPI number for Corey Buchanan is 1710451398. It was assigned to this individual provider in the NPPES registry on January 16, 2019.

Where is Corey Buchanan located?

Corey Buchanan practices at Naval Medical Center Balboa 34800 Bob Wilson Drive, San Diego, CA 92134. The listed phone number is (619) 640-0155.

What is Corey Buchanan'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 Corey Buchanan was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.