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MR. FELIZARDO BACARO TRIA IDC
NPI 1790835742
Military Health Care Provider - Independent Duty Corpsman in Twentynine Palms, CA

Active since January 11, 2007
1145 STURGIS STREET, NAVAL HOSPITAL, TWENTYNINE PALMS, CA 92278(760) 830-2621 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Felizardo Bacaro Tria Idc NPPES

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

MR. FELIZARDO BACARO TRIA IDC (NPI 1790835742) is an individual independent duty corpsman provider in Twentynine Palms, California and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1790835742
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. FELIZARDO BACARO TRIACredential: IDC
Location Address1145 STURGIS STREET, NAVAL HOSPITALTwentynine Palms, CA 92278-8250
Mailing Address2987 Makaha WaySan Diego, CA 92154-1557
Phone(760) 830-2621
Sole ProprietorNo
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790835742 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.
1145 STURGIS STREET, Twentynine Palms, CA 92278
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Other Providers at the Same Location NPPES 5

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

MARIA T SHELDRAKE O.D.
Optometrist
1145 STURGIS STREET, NAVAL HOSPITAL
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2128
KENNETH WISE MD
Anesthesiology
1145 STURGIS STREET
TWENTYNINE PALMS, CA 92278
San Bernardino County (410) 707-6293
MR. DARRYL BIEN SOL FNP-C
Nurse Practitioner (Family)
1145 STURGIS STREET
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2200
DR. SHELLEY DENISE HOLMES PHARMD
Pharmacist
1145 STURGIS STREET, ROBERT BUSH NAVAL HOSPITAL, PHARMACY DEPARTMENT
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2145
RAOUL ARCHAMBAULT IV PHARMD
Pharmacist
1145 STURGIS STREET, NAVAL HOSPITAL (ATTN PROFESSIONAL AFFAIRS)
TWENTYNINE PALMS, CA 92278
San Bernardino County (760) 830-2135

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 Felizardo Tria's NPI number?

The NPI number for Felizardo Tria is 1790835742. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Felizardo Tria located?

Felizardo Tria practices at 1145 Sturgis Street Naval Hospital, Twentynine Palms, CA 92278. The listed phone number is (760) 830-2621.

What is Felizardo Tria'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 Felizardo Tria was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.