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DEJANAE HAIRSTON IDC
NPI 1821585332
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since April 19, 2018
34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134(619) 532-6666 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dejanae Hairston Idc NPPES

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

DEJANAE HAIRSTON IDC (NPI 1821585332) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1821585332
Entity TypeIndividualFemale
Primary Taxonomy1710I1002X
Provider Legal NameDEJANAE HAIRSTONCredential: IDC
Location Address34800 BOB WILSON DRIVESan Diego, CA 92134
Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098
Phone(619) 532-6666
Sole ProprietorNo
Enumeration DateApril 19, 2018
✔ NPI 1821585332 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.
34800 BOB WILSON DRIVE, San Diego, CA 92134
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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.

MICHAEL CONRAD WEBER DO
Anesthesiology
34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 532-6471
MICHELLE MARIE GOSSELIN M.D.
Orthopaedic Surgery (Orthopaedic Trauma)
34800 BOB WILSON DRIVE, DEPT OF ORTHOPEDICS
SAN DIEGO, CA 92134
San Diego County (203) 640-5521
DR. DAVID MICHAEL FURLONG D.O.
Obstetrics & Gynecology
34800 BOB WILSON DRIVE, NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA 92134
San Diego County (619) 532-7284
DR. JOHN P WAGGONER MD, MPH
Orthopaedic Surgery (Hand Surgery)
34800 BOB WILSON DRIVE, DEPT OF ORTHOPAEDIC SURGERY
SAN DIEGO, CA 92134
San Diego County (619) 532-5404
KAREN QUEJA REYES RN
Registered Nurse (Case Management)
34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (619) 665-1998
DR. GORDON M ZILBERMAN PH.D.
Psychologist (Forensic)
34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
San Diego County (760) 716-8367
DR. DAVID B MATHER PH.D.
Psychologist (Clinical)
34800 BOB WILSON DRIVE, NAVAL MEDICAL CENTER
SAN DIEGO, CA 92134
San Diego County (619) 532-6065
DR. JOSEPH ROBERT CARNEY M.D.
Orthopaedic Surgery
34800 BOB WILSON DRIVE, SUITE 112
SAN DIEGO, CA 92134
San Diego County (619) 532-8427

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 Dejanae Hairston's NPI number?

The NPI number for Dejanae Hairston is 1821585332. It was assigned to this individual provider in the NPPES registry on April 19, 2018.

Where is Dejanae Hairston located?

Dejanae Hairston practices at 34800 Bob Wilson Drive, San Diego, CA 92134. The listed phone number is (619) 532-6666.

What is Dejanae Hairston'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 Dejanae Hairston was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.