GEORGE THOMAS STEVENS IV IDC (NAVY)
NPI 1962614560
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is George Stevens's NPI number?

The NPI number for George Stevens is 1962614560. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Q: What is George Stevens'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 George Stevens was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 May 04, 2007

3330 TARAWA RD BLDG 327, SAN DIEGO, CA 92155(619) 437-5139(619) 437-5099 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About George Thomas Stevens Iv Idc (navy) NPPES

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

GEORGE THOMAS STEVENS IV IDC (NAVY) (NPI 1962614560) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1962614560

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameGEORGE THOMAS STEVENS IVCredential: IDC (NAVY)

Location Address3330 TARAWA RD BLDG 327San Diego, CA 92155-5078

Mailing Address3330 Tarawa Rd Bldg 327San Diego, CA 92155-5078 · (619) 437-5139 · Fax (619) 437-5099

Phone(619) 437-5139

Fax(619) 437-5099

Sole ProprietorNo

Enumeration DateMay 4, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1962614560 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.

3330 TARAWA RD BLDG 327, San Diego, CA 92155

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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 George Stevens's NPI number?

The NPI number for George Stevens is 1962614560. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is George Stevens located?

George Stevens practices at 3330 Tarawa Rd Bldg 327, San Diego, CA 92155. The listed phone number is (619) 437-5139.

What is George Stevens'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 George Stevens was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.