KIMBERLY LEENIESE CHAVEZ SFIDC
NPI 1245542364
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

NPI Status: Active since July 06, 2010

Contact Information

2450 CRAVEN ST
BRANCH MEDICAL CLINIC NAVAL STATION BLDG 3300
SAN DIEGO, CA
ZIP 92136
Phone: (619) 954-6168
Fax: (619) 556-9419

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  • Individual
  • Female
  • Military Health Care Provider
  • Independent Duty Corpsman

About KIMBERLY CHAVEZ

This page provides the complete NPI Profile along with additional information for Kimberly Chavez, 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 1245542364 assigned on July 2010. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1245542364
Provider Name
KIMBERLY LEENIESE CHAVEZ SFIDC
Gender
Female
Entity Type
Individual
Location Address
2450 CRAVEN ST BRANCH MEDICAL CLINIC NAVAL STATION BLDG 3300 SAN DIEGO, CA 92136
Location Phone
(619) 954-6168
Location Fax
(619) 556-9419
Mailing Address
2450 CRAVEN ST BRANCH MEDICAL CLINIC NAVAL STATION BLDG 3300 SAN DIEGO, CA 92136
Mailing Phone
(619) 954-6168
Mailing Fax
(619) 556-9419
Is Sole Proprietor?
Yes
Enumeration Date
07-06-2010
Last Update Date
07-06-2010
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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
License State
CA
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.
1245542364
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22851044312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 0 + 4 + 4 + 3 + 1 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1245542364 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649276288 JENNIFER ELIZABETH TONGE-MARTIN APRN,BC
Individual
Nurse Practitioner (Family)2450 CRAVEN ST
SAN DIEGO, CA 92136
(858) 556-7784
1821059098 PHILIP F CONFER IDC
Individual
Military Health Care Provider (Independent Duty Corpsman)2450 CRAVEN ST
SAN DIEGO, CA 92136
(619) 556-8114
1013195718 CARLETUS M PATRICK IDC
Individual
Military Health Care Provider (Independent Duty Corpsman)2450 CRAVEN ST
SAN DIEGO, CA 92136
(619) 556-6081
1497927404MS. KEREN MIREYA LEMAS IDC
Individual
Military Health Care Provider (Independent Duty Medical Technicians)2450 CRAVEN ST
SAN DIEGO, CA 92136
(619) 556-8114
1043486418MR. JOSHUA DAVID FRENCH IDC
Individual
Military Health Care Provider (Independent Duty Corpsman)2450 CRAVEN ST
SAN DIEGO, CA 92136
(619) 556-7529
1144496670MR. TIJANI BAMIDELE ABDULSALAM IDC
Individual
Military Health Care Provider (Independent Duty Corpsman)2450 CRAVEN ST
SAN DIEGO, CA 92136
(619) 556-8066
1699070987MR. CHRISTOPHER JAMES TILLEY IDC
Individual
Military Health Care Provider (Independent Duty Corpsman)2450 CRAVEN ST BLDG 3300
SAN DIEGO, CA 92136
(619) 532-6300
1518118546 ESTRELLITA DELROSAR EDMOND I.D.C
Individual
Military Health Care Provider (Independent Duty Corpsman)2450 CRAVEN ST
SAN DIEGO, CA 92136
(619) 556-8114
1326132754DR. SURITI KUNDU MD
Individual
Family Medicine2450 CRAVEN ST BRANCH MEDICAL CLINIC NAVAL BASE
SAN DIEGO, CA 92136
(619) 556-8101
1124125984NAVAL MEDICAL CENTER SAN DIEGO
Organization
Military/U.S. Coast Guard Pharmacy2450 CRAVEN ST BLDG 3300
SAN DIEGO, CA 92136
(619) 556-8086

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245542364, enumerated in the NPI registry as an "individual" on July 06, 2010

The provider is located at 2450 Craven St Branch Medical Clinic Naval Station Bldg 3300 San Diego, Ca 92136 and the phone number is (619) 954-6168

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 July 06, 2010. 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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