JON RUDOLF PANGAN INDEPENDENT DUTY HM
NPI 1902174899
Military Health Care Provider - Independent Duty Corpsman in Virginia Beach, VA

Q: What is Jon Rudolf Pangan's NPI number?

The NPI number for Jon Rudolf Pangan is 1902174899. It was assigned to this individual provider in the NPPES registry on December 6, 2011.

Q: What is Jon Rudolf Pangan'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 Jon Rudolf Pangan was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 December 06, 2011

4432 BONNEY RD, APARTMENT 206, VIRGINIA BEACH, VA 23462(619) 847-5977 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jon Rudolf Pangan Independent Duty Hm NPPES

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

JON RUDOLF PANGAN INDEPENDENT DUTY HM (NPI 1902174899) is an individual independent duty corpsman provider in Virginia Beach, Virginia and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1902174899

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameJON RUDOLF PANGANCredential: INDEPENDENT DUTY HM

Location Address4432 BONNEY RD, APARTMENT 206Virginia Beach, VA 23462-3889

Mailing Address4432 Bonney Rd, Apartment 206Virginia Beach, VA 23462-3889 · (619) 847-5977

Phone(619) 847-5977

Sole ProprietorNo

Enumeration DateDecember 6, 2011

✔ NPI 1902174899 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.

4432 BONNEY RD, Virginia Beach, VA 23462

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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 Jon Rudolf Pangan's NPI number?

The NPI number for Jon Rudolf Pangan is 1902174899. It was assigned to this individual provider in the NPPES registry on December 6, 2011.

Where is Jon Rudolf Pangan located?

Jon Rudolf Pangan practices at 4432 Bonney Rd Apartment 206, Virginia Beach, VA 23462. The listed phone number is (619) 847-5977.

What is Jon Rudolf Pangan'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 Jon Rudolf Pangan was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.