Individual provider · Type 1 NPI

Jhan Deivy Smith, IDC

Independent Duty Corpsman · San Diego, CA

NPI number 1871432997 Active

Practice location

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-7000

Call (619) 532-7968 Map

Mailing address

3950 Mahaila Ave Apt L24
San Diego, CA 92122-6134

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 1871432997

Jhan Deivy Smith, IDC's National Provider Identifier is 1871432997, issued on Mar 25, 2026. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in San Diego, CA. The record was last updated on Mar 25, 2026.