JEFFREY WHITE IDC
NPI 1861988628
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Jeffrey White's NPI number?

The NPI number for Jeffrey White is 1861988628. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Q: What is Jeffrey White's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey White was last updated on July 5, 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.

Active since July 05, 2018

3401 FARENHOLT AVE, SAN DIEGO, CA 92134(775) 217-3327 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jeffrey White Idc NPPES

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

JEFFREY WHITE IDC (NPI 1861988628) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since July 2018. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1861988628

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameJEFFREY WHITECredential: IDC

Location Address3401 FARENHOLT AVESan Diego, CA 92134-0001

Mailing Address3401 Farenholt AveSan Diego, CA 92134-0001 · (775) 217-3327

Phone(775) 217-3327

Sole ProprietorNo

Enumeration DateJuly 5, 2018

✔ NPI 1861988628 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.

3401 FARENHOLT AVE, San Diego, CA 92134

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Secondary Practice Location 1

Location 110191 Hooper StreetSan Diego, CA 92124 · Phone (775) 217-3327

Other Providers at the Same Location NPPES 6

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

CHRISTOPHER WAYNE SWINNEY IDC