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MR. BENEDICT JOVELLANO JACOB
NPI 1841594942
Military Health Care Provider - Independent Duty Corpsman in Imperial Beach, CA

Active since January 04, 2011
1 HOOPER BLVD, IMPERIAL BEACH, CA 91932(619) 628-8447 Get Directions Write a Review

NPPES record last updated: January 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Benedict Jovellano Jacob NPPES

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

MR. BENEDICT JOVELLANO JACOB (NPI 1841594942) is an individual independent duty corpsman provider in Imperial Beach, California and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1841594942
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. BENEDICT JOVELLANO JACOB
Location Address1 HOOPER BLVDImperial Beach, CA 91932-1050
Mailing Address1 Hooper BlvdImperial Beach, CA 91932-1050 · (619) 628-8447
Phone(619) 628-8447
Sole ProprietorNo
Enumeration DateJanuary 4, 2011
✔ NPI 1841594942 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.
1 HOOPER BLVD, Imperial Beach, CA 91932
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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 Benedict Jacob's NPI number?

The NPI number for Benedict Jacob is 1841594942. It was assigned to this individual provider in the NPPES registry on January 4, 2011.

Where is Benedict Jacob located?

Benedict Jacob practices at 1 Hooper Blvd, Imperial Beach, CA 91932. The listed phone number is (619) 628-8447.

What is Benedict Jacob'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 Benedict Jacob was last updated on January 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.