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MR. TIMOTHY DANIEL SEVERINO SOIDC
NPI 1780055723
Military Health Care Provider - Independent Duty Corpsman in Camp Pendleton, CA

Active since October 16, 2015
1ST RECONNAISSANCE BATTALION AID STATION, 41 AREA CAMP FLORES, CAMP PENDLETON, CA 92055(760) 725-8912 Get Directions Write a Review

NPPES record last updated: October 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Timothy Daniel Severino Soidc NPPES

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

MR. TIMOTHY DANIEL SEVERINO SOIDC (NPI 1780055723) is an individual independent duty corpsman provider in Camp Pendleton, California and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1780055723
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. TIMOTHY DANIEL SEVERINOCredential: SOIDC
Location Address1ST RECONNAISSANCE BATTALION AID STATION, 41 AREA CAMP FLORESCamp Pendleton, CA 92055
Mailing Address1st Reconnaissance Battalion Aid Station, 41 Area Camp Flores, Po Box 555584Camp Pendleton, CA 92055 · (760) 725-8912
Phone(760) 725-8912
Sole ProprietorNo
Enumeration DateOctober 16, 2015
✔ NPI 1780055723 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.
1ST RECONNAISSANCE BATTALION AID STATION, Camp Pendleton, CA 92055
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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 Timothy Severino's NPI number?

The NPI number for Timothy Severino is 1780055723. It was assigned to this individual provider in the NPPES registry on October 16, 2015.

Where is Timothy Severino located?

Timothy Severino practices at 1st Reconnaissance Battalion Aid Station 41 Area Camp Flores, Camp Pendleton, CA 92055. The listed phone number is (760) 725-8912.

What is Timothy Severino'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 Timothy Severino was last updated on October 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.