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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MATTHEW HOLLEY
NPI 1770496564
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since September 23, 2026
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134(619) 548-3754 Get Directions Write a Review

NPPES record added: September 26, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Matthew Holley NPPES

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

MATTHEW HOLLEY (NPI 1770496564) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1770496564
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMATTHEW HOLLEY
Location Address34101 FARENHOLT AVE BLDG 14San Diego, CA 92134-7000
Mailing Address34101 Farenholt Ave Bldg 14San Diego, CA 92134-7000 · (619) 548-3754
Phone(619) 548-3754
Sole ProprietorYes
Enumeration DateSeptember 23, 2026
Last NPPES UpdateSeptember 26, 2026
NPPES CertifiedSeptember 26, 2026
✔ NPI 1770496564 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.
34101 FARENHOLT AVE BLDG 14, San Diego, CA 92134
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MR. MICHAEL WILLIAM ASHLINE IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-6195
MR. ROBERT LUND IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (864) 201-6478
JOHN DAVID MACLEOD
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (716) 955-9805
STEVEN LE IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
WILLIAM ALLEN IRISH IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
APO, AP 92134
San Diego County (619) 532-6195
TIMOTHY JOHN RUANE IDC
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
OLIVIA KROHTA
Student in an Organized Health Care Education/Training Program
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134
San Diego County (619) 532-7968
JARED MICHAEL O'BRIEN
Military Health Care Provider (Independent Duty Corpsman)
34101 FARENHOLT AVE BLDG 14
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 Matthew Holley's NPI number?

The NPI number for Matthew Holley is 1770496564. It was assigned to this individual provider in the NPPES registry on September 23, 2026.

Where is Matthew Holley located?

Matthew Holley practices at 34101 Farenholt Ave Bldg 14, San Diego, CA 92134. The listed phone number is (619) 548-3754.

What is Matthew Holley'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 Matthew Holley was last updated on September 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.