OMAR ANTONIO PESCADOR IDC
NPI 1720352958
Military Health Care Provider - Independent Duty Corpsman in Virginia Beach, VA

Q: What is Omar Pescador's NPI number?

The NPI number for Omar Pescador is 1720352958. It was assigned to this individual provider in the NPPES registry on March 6, 2012.

Q: What is Omar Pescador's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Omar Pescador was last updated on March 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 06, 2012

SEAL TEAM 10 MEDICAL DEPARTMENT, BLDG 3808, VIRGINIA BEACH, VA 23521(917) 848-3454 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Omar Antonio Pescador Idc NPPES

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

OMAR ANTONIO PESCADOR IDC (NPI 1720352958) is an individual independent duty corpsman provider in Virginia Beach, Virginia and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1720352958

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameOMAR ANTONIO PESCADORCredential: IDC

Location AddressSEAL TEAM 10 MEDICAL DEPARTMENT, BLDG 3808Virginia Beach, VA 23521

Mailing Address7568 Roaring Springs RdGloucester, VA 23061-4269 · (917) 848-3454

Phone(917) 848-3454

Sole ProprietorNo

Enumeration DateMarch 6, 2012

✔ NPI 1720352958 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.

SEAL TEAM 10 MEDICAL DEPARTMENT, Virginia Beach, VA 23521

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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 Omar Pescador's NPI number?

The NPI number for Omar Pescador is 1720352958. It was assigned to this individual provider in the NPPES registry on March 6, 2012.

Where is Omar Pescador located?

Omar Pescador practices at Seal Team 10 Medical Department Bldg 3808, Virginia Beach, VA 23521. The listed phone number is (917) 848-3454.

What is Omar Pescador'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 Omar Pescador was last updated on March 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.