MR. JASON KRISTOPHER MITCHELL IDC
NPI 1982161865
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Jason Mitchell's NPI number?

The NPI number for Jason Mitchell is 1982161865. It was assigned to this individual provider in the NPPES registry on February 27, 2019.

Q: What is Jason Mitchell'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 Jason Mitchell was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 February 27, 2019

34800 BOB WILSON DR, SAN DIEGO, CA 92134(469) 502-8263 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Jason Kristopher Mitchell Idc NPPES

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

MR. JASON KRISTOPHER MITCHELL IDC (NPI 1982161865) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1982161865

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. JASON KRISTOPHER MITCHELLCredential: IDC

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address1585 Kenwell StSan Diego, CA 92139-1005 · (469) 502-8263

Phone(469) 502-8263

Sole ProprietorNo

Enumeration DateFebruary 27, 2019

✔ NPI 1982161865 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.

34800 BOB WILSON DR, San Diego, CA 92134

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Other Identifiers 1

Other02839649TX · Drivers License

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.

LORENA MARIE FUJII N.P.

Nurse Practitioner (Pediatrics)