SERALVIN V BURGOS IDMT
NPI 1942539630
Military Health Care Provider - Independent Duty Medical Technicians in Travis Afb, CA

Active since December 09, 2009
101 BODIN CIR, TRAVIS AFB, CA 94535(707) 423-3537 Get Directions Write a Review

NPPES record last updated: December 9, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Seralvin V Burgos Idmt NPPES

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

SERALVIN V BURGOS IDMT (NPI 1942539630) is an individual independent duty medical technicians provider in Travis Afb, California and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1942539630
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameSERALVIN V BURGOSCredential: IDMT
Location Address101 BODIN CIRTravis Afb, CA 94535-1809
Mailing Address101 Bodin CirTravis Afb, CA 94535-1809 · (707) 423-3537
Sole ProprietorNo
Enumeration DateDecember 9, 2009
NPI 1942539630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

101 BODIN CIR, Travis Afb, CA 94535

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (Pediatric Dentistry)
101 BODIN CIR, DAVID GRANT MEDICAL CENTER / 60TH DENTAL SQUADRON
TRAVIS AFB, CA 94535
Pediatrics (Pediatric Hematology-Oncology)
101 BODIN CIR, DEPARTMENT OF PEDIATRICS
TRAVIS AFB, CA 94535
Internal Medicine (Cardiovascular Disease)
101 BODIN CIR
TRAVIS AFB, CA 94535
Preventive Medicine (Undersea and Hyperbaric Medicine)
101 BODIN CIR
TRAVIS AFB, CA 94535
Clinical Neuropsychologist
101 BODIN CIR, DAVID GRANT MEDICAL CENTER
TRAVIS AFB, CA 94535
Social Worker (Clinical)
101 BODIN CIR
TRAVIS AFB, CA 94535
Family Medicine (Sports Medicine)
101 BODIN CIR, 60TH MDOS/SGOL
TRAVIS AFB, CA 94535
Nurse Anesthetist, Certified Registered
101 BODIN CIR, 60 MDG/SGCSA
TRAVIS AFB, CA 94535
Dietitian, Registered
101 BODIN CIR, 60 MDTS/SGQD
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR, 60TH DENTAL SQUADRON/SGDT
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Nurse Anesthetist, Certified Registered
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (Orthodontics and Dentofacial Orthopedics)
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (Periodontics)
101 BODIN CIR, 60TH DENTAL SQUADRON (AMC)- DEPARTMENT OF THE AIR FORCE
TRAVIS AFB, CA 94535
Dentist (Endodontics)
101 BODIN CIR
TRAVIS AFB, CA 94535
Physical Therapist (Orthopedic)
101 BODIN CIR
TRAVIS AFB, CA 94535
General Acute Care Hospital
101 BODIN CIR, TRAVIS AFB
FAIRFIELD, CA 94535
Optometrist
101 BODIN CIR, 60AMDS/SGPE
TRAVIS AFB, CA 94535
Emergency Medicine
101 BODIN CIR
TRAVIS AFB, CA 94535

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942539630, enumerated as an "individual" on December 09, 2009.

The provider is located at 101 BODIN CIR TRAVIS AFB, CA 94535 and the phone number is (707) 423-3537.

Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.