MARK NOVAK SOIDC
NPI 1922698679
Military Health Care Provider - Independent Duty Corpsman in Camp Pendleton, CA

Active since January 26, 2021
1ST RECON BN BAS BLDG 4101 41 AREA, CAMP PENDLETON, CA 92055(224) 343-3623 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Novak Soidc NPPES

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

MARK NOVAK SOIDC (NPI 1922698679) is an individual independent duty corpsman provider in Camp Pendleton, California and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1922698679
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMARK NOVAKCredential: SOIDC
Location Address1ST RECON BN BAS BLDG 4101 41 AREACamp Pendleton, CA 92055
Mailing AddressPo Box 555584Camp Pendleton, CA 92055-5584
Sole ProprietorNo
Enumeration DateJanuary 26, 2021
NPPES CertifiedJanuary 8, 2021
NPI 1922698679 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.
1ST RECON BN BAS BLDG 4101 41 AREA, Camp Pendleton, CA 92055

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 Mark Novak's NPI number?

The NPI number for Mark Novak is 1922698679. It was assigned to this individual provider in the NPPES registry on January 26, 2021.

Where is Mark Novak located?

Mark Novak practices at 1st Recon Bn Bas Bldg 4101 41 Area, Camp Pendleton, CA 92055. The listed phone number is (224) 343-3623.

What is Mark Novak'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 Mark Novak was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.