SAMUEL JESSE NIEVES IDHS
NPI 1922815547
Military Health Care Provider - Independent Duty Corpsman in Petaluma, CA

Q: What is Samuel Nieves's NPI number?

The NPI number for Samuel Nieves is 1922815547. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Q: What is Samuel Nieves'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 Samuel Nieves was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 17, 2024

599 TOMALES RD, PETALUMA, CA 94952(707) 765-7200 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samuel Jesse Nieves Idhs NPPES

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

SAMUEL JESSE NIEVES IDHS (NPI 1922815547) is an individual independent duty corpsman provider in Petaluma, California and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1922815547

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameSAMUEL JESSE NIEVESCredential: IDHS

Location Address599 TOMALES RDPetaluma, CA 94952-5002

Mailing Address599 Tomales RdPetaluma, CA 94952-5002 · (707) 765-7200

Phone(707) 765-7200

Sole ProprietorNo

Enumeration DateDecember 17, 2024

NPPES CertifiedDecember 17, 2024

✔ NPI 1922815547 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.

599 TOMALES RD, Petaluma, CA 94952

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Other Providers at the Same Location NPPES 20

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

MR. STEVEN BENARD POWELL

Emergency Medical Technician, Basic

599 TOMALES RD
PETALUMA, CA 94952

Sonoma County (707) 765-7774

DEREK ALAN WILLIAMS

Technician, Other

599 TOMALES RD, HS 'A' SCHOOL
PETALUMA, CA 94952

Sonoma County (707) 765-7482

MRS. ERMA ABRAZADO PAYNE HEALTH SERVICES TECH

Technician, Other

599 TOMALES RD, US COAST GUARD TRACEN PETALUMA
PETALUMA, CA 94952

Sonoma County (707) 765-7833

LARRY HOWARD LEE BOWEN ARRT(R) EMT(B)

Radiologic Technologist (Radiography)

599 TOMALES RD, HEALTH SERVICES 'A' SCHOOL
PETALUMA, CA 94952

Sonoma County (707) 765-7488

MR. DALE RUSSELL YOUNG JR.

Technician, Other

599 TOMALES RD
PETALUMA, CA 94952

Sonoma County (541) 914-7676

ANNA C BROTHERS

Technician, Other

599 TOMALES RD, MEDICAL CLINIC
PETALUMA, CA 94952

Sonoma County (707) 765-7702

MR. JEFFREY SUMNER MCCOY

Technician, Other

599 TOMALES RD
PETALUMA, CA 94952

Sonoma County (360) 477-8679

ELIZA ZETINO

Dental Assistant

599 TOMALES RD
PETALUMA, CA 94952

Sonoma County (707) 765-7200

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 Samuel Nieves's NPI number?

The NPI number for Samuel Nieves is 1922815547. It was assigned to this individual provider in the NPPES registry on December 17, 2024.

Where is Samuel Nieves located?

Samuel Nieves practices at 599 Tomales Rd, Petaluma, CA 94952. The listed phone number is (707) 765-7200.

What is Samuel Nieves'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 Samuel Nieves was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.