LON PHILLIP CHANEY IDC
NPI 1912342536
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since May 09, 2013
2626 SHOUP DR, SAN DIEGO, CA 92110(757) 641-3994 Get Directions Write a Review

NPPES record last updated: May 9, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lon Phillip Chaney Idc NPPES

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

LON PHILLIP CHANEY IDC (NPI 1912342536) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1912342536
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameLON PHILLIP CHANEYCredential: IDC
Location Address2626 SHOUP DRSan Diego, CA 92110-4268
Mailing Address2626 Shoup DrSan Diego, CA 92110-4268 · (757) 641-3994
Sole ProprietorNo
Enumeration DateMay 9, 2013
NPI 1912342536 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.
2626 SHOUP DR, San Diego, CA 92110

Other Identifiers 1

Other1710-1002XIdc

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 Lon Chaney's NPI number?

The NPI number for Lon Chaney is 1912342536. It was assigned to this individual provider in the NPPES registry on May 9, 2013.

Where is Lon Chaney located?

Lon Chaney practices at 2626 Shoup Dr, San Diego, CA 92110. The listed phone number is (757) 641-3994.

What is Lon Chaney'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 Lon Chaney was last updated on May 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.