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HENRY JOSHUA STERLING BEATY IDC L10A
NPI 1811749666
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since April 04, 2024
2450 CRAVEN ST # 3300, SAN DIEGO, CA 92136(619) 556-8101 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Henry Joshua Sterling Beaty Idc L10a NPPES

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

HENRY JOSHUA STERLING BEATY IDC L10A (NPI 1811749666) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since April 2024. He maintains a secondary practice location in Twentynine Palms.

NPPES Registry Identity

NPI1811749666
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameHENRY JOSHUA STERLING BEATYCredential: IDC L10A
Location Address2450 CRAVEN ST # 3300San Diego, CA 92136-5599
Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098 · (386) 344-1365
Phone(619) 556-8101
Sole ProprietorNo
Enumeration DateApril 4, 2024
NPPES CertifiedApril 2, 2024
✔ NPI 1811749666 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.
2450 CRAVEN ST # 3300, San Diego, CA 92136
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Secondary Practice Location 1

Location 11145 Strugis RdTwentynine Palms, CA 92278 · Phone (760) 830-2190

Other Providers at the Same Location NPPES 3

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

WEI-JU LAI
Military Health Care Provider (Independent Duty Corpsman)
2450 CRAVEN ST # 3300
SAN DIEGO, CA 92136
San Diego County (619) 556-8101
KAYLEIGH KIRK
Family Medicine
2450 CRAVEN ST # 3300
SAN DIEGO, CA 92136
San Diego County (619) 556-8101
LAUREN NEWSOME MD
Military Health Care Provider
2450 CRAVEN ST # 3300
SAN DIEGO, CA 92136
San Diego County (619) 556-5191

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 Henry Beaty's NPI number?

The NPI number for Henry Beaty is 1811749666. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Where is Henry Beaty located?

Henry Beaty practices at 2450 Craven St # 3300, San Diego, CA 92136. The listed phone number is (619) 556-8101.

What is Henry Beaty'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 Henry Beaty was last updated on April 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.