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ELLIOTT O MARTINEZ IDC
NPI 1871786335
Military Health Care Provider - Independent Duty Corpsman in Bridgeport, CA

Active since August 19, 2007
STATE ROAD 108 BLDG 3005, DEWERT BRANCH HEALTH CLINIC, BRIDGEPORT, CA 93517(760) 932-1616(760) 932-1623 Get Directions Write a Review

NPPES record last updated: October 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elliott O Martinez Idc NPPES

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

ELLIOTT O MARTINEZ IDC (NPI 1871786335) is an individual independent duty corpsman provider in Bridgeport, California and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1871786335
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameELLIOTT O MARTINEZCredential: IDC
Location AddressSTATE ROAD 108 BLDG 3005, DEWERT BRANCH HEALTH CLINICBridgeport, CA 93517-7777
Mailing AddressS.r. 108 Bldg 3005Bridgeport, CA 93517 · (760) 932-1616 · Fax (760) 932-1623
Phone(760) 932-1616
Fax(760) 932-1623
Sole ProprietorNo
Enumeration DateAugust 19, 2007
Last NPPES UpdateOctober 23, 2015
✔ NPI 1871786335 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.
STATE ROAD 108 BLDG 3005, Bridgeport, CA 93517
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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 Elliott Martinez's NPI number?

The NPI number for Elliott Martinez is 1871786335. It was assigned to this individual provider in the NPPES registry on August 19, 2007.

Where is Elliott Martinez located?

Elliott Martinez practices at State Road 108 Bldg 3005 Dewert Branch Health Clinic, Bridgeport, CA 93517. The listed phone number is (760) 932-1616.

What is Elliott Martinez'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 Elliott Martinez was last updated on October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.