MR. EHREN LIETZ IDC
NPI 1073773800
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA
NPI Status: Active since June 16, 2008
Contact Information
35000 GUADALCANAL AVE
SAN DIEGO, CA
ZIP 92140
Phone: (619) 524-8397
- Individual
- Male
- Military Health Care Provider
- Independent Duty Corpsman
About EHREN LIETZ
This page provides the complete NPI Profile along with additional information for Ehren Lietz, a provider established in San Diego, California with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1073773800 assigned on June 2008. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1073773800
- Provider Name
- MR. EHREN LIETZ IDC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 35000 GUADALCANAL AVE SAN DIEGO, CA 92140
- Location Phone
- (619) 524-8397
- Mailing Address
- 35000 GUADALCANAL AVE SAN DIEGO, CA 92140
- Mailing Phone
- (619) 524-8397
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-16-2008
- Last Update Date
- 06-16-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider Independent Duty Corpsman
- Taxonomy Code
- 1710I1002X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| IDC | OTHER (01) | IDC |
Reviews for MR. EHREN LIETZ IDC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 7 | 7 | 3 | 8 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 14 | 7 | 6 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 1 + 4 + 7 + 6 + 8 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1073773800 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1396717492 | MR. DOUGLAS LEE FAISON PA-C Individual | Physician Assistant (Medical) | 35000 GUADALCANAL AVE BRANCH MEDICAL CLINIC, MCRD BLD 596 SAN DIEGO, CA 92140 (619) 524-0789 |
| 1821051020 | MARTY LYNN GOLIGHTLY IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 35000 GUADALCANAL AVE SAN DIEGO, CA 92140 (619) 524-4043 |
| 1114984192 | YESENIA ASTORGA PA-C Individual | Physician Assistant | 35000 GUADALCANAL AVE BMC MCRD SAN DIEGO, CA 92140 (619) 524-4045 |
| 1588854368 | MR. EDUARDO MALAYAO MAGPAYO IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 35000 GUADALCANAL AVE SAN DIEGO, CA 92140 (619) 524-8307 |
| 1851587075 | MR. TIMOTHY WAYNE SEFA IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 35000 GUADALCANAL AVE SAN DIEGO, CA 92140 (619) 524-8307 |
| 1396922464 | MR. BRIAN PATRICK LIVINGSTONE A.T.,C. Individual | Specialist/Technologist (Athletic Trainer) | 35000 GUADALCANAL AVE SAN DIEGO, CA 92140 (619) 524-8313 |
| 1417129370 | MR. DONALD REID ROSARIO IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 35000 GUADALCANAL AVE BLDG 596 SAN DIEGO, CA 92140 (619) 524-4045 |
| 1427224161 | MRS. LISA KAY LAWITZKE-HUNDLEY IDC Individual | Military Health Care Provider | 35000 GUADALCANAL AVE BLDG 596 SAN DIEGO, CA 92140 (619) 524-8311 |
| 1386802874 | VERONYKA T YOUNG IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 35000 GUADALCANAL AVE SAN DIEGO, CA 92140 (619) 524-4045 |
| 1194985861 | BRIAN JAMES JACKSON IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 35000 GUADALCANAL AVE SAN DIEGO, CA 92140 (619) 524-4045 |
| 1780938209 | NAVAL MEDICAL CENTER SAN DIEGO Organization | Military Hospital | 35000 GUADALCANAL AVE BLDG 596 SAN DIEGO, CA 92140 (619) 524-5196 |
| 1023080926 | DR. ARTHUR WELLS WARD D.P.M. Individual | Podiatrist (Sports Medicine) | 35000 GUADALCANAL AVE MCRD BRANCH MEDICAL CLINIC SAN DIEGO, CA 92140 (619) 524-8313 |
| 1386604155 | ANNE DASILVA PA-C Individual | Physician Assistant | 35000 GUADALCANAL AVE BRANCH HEALTH CLINIC MCRD SAN DIEGO, CA 92140 (619) 524-0807 |
| 1457571044 | MICHAEL A. CARTER Individual | Specialist/Technologist (Athletic Trainer) | 35000 GUADALCANAL AVE SAN DIEGO, CA 92140 (619) 524-8167 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073773800, enumerated in the NPI registry as an "individual" on June 16, 2008
The provider is located at 35000 Guadalcanal Ave San Diego, Ca 92140 and the phone number is (619) 524-8397
The provider's speciality is Military Health Care Provider with taxonomy code 1710I1002X with a focus in Independent Duty Corpsman
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 16, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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