Individual provider · Type 1 NPI

Wayne Carleton Johnson, IDC

Independent Duty Corpsman · Twentynine Palms, CA

NPI number 1639147697 Active

Practice location

Naval Hospital, Box 788250
Twentynine Palms, CA 92278-8250

Call (760) 830-2677 Map

Fax (760) 830-2601

Mailing address

3848B Westside Rd
Twentynine Palms, CA 92277-9407

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 1639147697

Wayne Carleton Johnson, IDC's National Provider Identifier is 1639147697, issued on Mar 8, 2006. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Twentynine Palms, CA. The record was last updated on Jul 13, 2026.