Individual provider · Type 1 NPI

Nickolas Vincent Ponce, IDC

Independent Duty Corpsman · Port Hueneme, CA

NPI number 1265951305 Active

Practice location

162 1st St Bldg 1402
Port Hueneme, CA 93043-4316

Call (805) 982-6320 Map

Mailing address

5585 Gloucester Way
Riverside, CA 92506-3429

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone listed

Independent Duty Corpsman: 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 othe…

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About NPI 1265951305

Nickolas Vincent Ponce, IDC's National Provider Identifier is 1265951305, issued on Sep 10, 2017. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Port Hueneme, CA. The record was last updated on Sep 10, 2017.