EDGAR MANUEL GONZALEZGOMEZ IDC
NPI 1164245403
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA
NPI Status: Active since November 05, 2024
Contact Information
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA
ZIP 92134
Phone: (619) 532-6266
- Individual
- Male
- Military Health Care Provider
- Independent Duty Corpsman
About EDGAR GONZALEZGOMEZ
This page provides the complete NPI Profile along with additional information for Edgar Gonzalezgomez, 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 1164245403 assigned on November 2024. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1164245403
- Provider Name
- EDGAR MANUEL GONZALEZGOMEZ IDC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134
- Location Phone
- (619) 532-6266
- Mailing Address
- 4765 GURKE ST SAN DIEGO, CA 92124
- Mailing Phone
- (323) 365-9491
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-05-2024
- Last Update Date
- 11-05-2024
- 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.
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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 | 1 | 6 | 4 | 2 | 4 | 5 | 4 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 4 | 4 | 10 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 4 + 4 + 1 + 0 + 4 + 0 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1164245403 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124010343 | DR. DEBRA M RYKEN DMD Individual | Dentist (General Practice) | 34101 FARENHOLT AVE BLDG 14 NAVAL SCHOOL OF HEALTH SCIENCES SAN DIEGO, CA 92134 (619) 532-7803 |
| 1497977839 | MR. JEFFREY ALLEN TICE IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (619) 532-5103 |
| 1619181534 | MR. MARK CONWAY VALENCIA IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (310) 974-2367 |
| 1063627099 | MS. CONNIE JEAN LAWSON IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (619) 532-5135 |
| 1609011253 | MR. ANDRE RAMON KIRKENDOLL IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 34101 FARENHOLT AVE BLDG 14 SURFACE WARFARE MEDICAL INSTITUTE SAN DIEGO, CA 92134 SAN DIEGO, CA 92134 (619) 532-5099 |
| 1306167366 | JASON SEEFORTH IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (619) 532-5103 |
| 1306154851 | DR. STEVEN L BANKS D.O. Individual | Emergency Medicine | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (619) 532-7826 |
| 1710284286 | NATHANAEL LEE WARREN Individual | Military Health Care Provider (Independent Duty Corpsman) | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (619) 532-6233 |
| 1285931741 | MR. JOSHUA ROMAN SMITH IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (619) 532-6233 |
| 1750674818 | TRINIDAD ALCANTARA ALVARENGA IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (619) 532-5109 |
| 1003199738 | MR. MICHAEL WILLIAM ASHLINE IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (619) 532-6195 |
| 1417218082 | KYALON RAY GRAVES Individual | Military Health Care Provider (Independent Duty Corpsman) | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (619) 532-6195 |
| 1568719821 | MR. LARRY ODELL NEELY IDC Individual | Military Health Care Provider | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (619) 532-6195 |
| 1417293796 | MR. CHRISTOPHER LEE WILKINS IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (619) 532-6400 |
| 1376986992 | JOVON WELLS IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (901) 552-7505 |
| 1275974826 | CHRISTINA L DEMOS IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (619) 532-6195 |
| 1538501101 | JUAN STEVE DELGADO SFIDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (956) 346-0940 |
| 1538501093 | MR. MANUEL HERNANDEZ TOLEDO JR. Individual | Military Health Care Provider (Independent Duty Corpsman) | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (619) 532-9712 |
| 1427490952 | JEWEL ELIEZER CASTILLO TOLEDO Individual | Military Health Care Provider (Independent Duty Corpsman) | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (619) 532-6195 |
| 1346675865 | RICHARD EDWARD SPELLS II IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 34101 FARENHOLT AVE BLDG 14 SAN DIEGO, CA 92134 (619) 532-6195 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164245403, enumerated in the NPI registry as an "individual" on November 05, 2024
The provider is located at 34101 Farenholt Ave Bldg 14 San Diego, Ca 92134 and the phone number is (619) 532-6266
The provider's speciality is Military Health Care Provider with taxonomy code 1710I1002X with a focus in Independent Duty Corpsman
This NPI record was last updated on November 05, 2024. 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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