TRACIE L HAM
NPI 1639367345
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

NPI Status: Active since October 09, 2007

Contact Information

34800 BOB WILSON DR
SAN DIEGO, CA
ZIP 92134
Phone: (619) 524-4045

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

About TRACIE HAM

This page provides the complete NPI Profile along with additional information for Tracie Ham, 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 1639367345 assigned on October 2007. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1639367345
Provider Name
TRACIE L HAM
Gender
Female
Entity Type
Individual
Location Address
34800 BOB WILSON DR SAN DIEGO, CA 92134
Location Phone
(619) 524-4045
Mailing Address
4033 CONRAD DR SPRING VALLEY, CA 91977
Mailing Phone
(619) 300-2664
Is Sole Proprietor?
Yes
Enumeration Date
10-09-2007
Last Update Date
10-09-2007
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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.
1639367345
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669661438
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 6 + 1 + 4 + 3 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1639367345 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245235134DR. WILLIE S CHAO DDS
Individual
Dentist (General Practice)34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-8600
1942209952MS. LORI WILSON-HOPKINS RN
Individual
Registered Nurse (Neonatal Intensive Care)34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-6400
1366436545MR. JAMES P. FERGUSON CRNA
Individual
Nurse Anesthetist, Certified Registered34800 BOB WILSON DR DEPARTMENT OF ANESTHESIOLOGY
SAN DIEGO, CA 92134
(619) 532-8943
1225029192DR. ERIN ALINE GRIFFITH D.O.
Individual
General Practice34800 BOB WILSON DR NAVAL MEDICAL CENTER SAN DIEGO
SAN DIEGO, CA 92134
(619) 532-6400
1750366928 ARNEL JAVIER BARBA CRNA
Individual
Nurse Anesthetist, Certified Registered34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-8943
1811976673DR. STEPHEN PAUL ARLES M.D.
Individual
Radiology (Diagnostic Radiology)34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-8775
1619956406DR. AGNES T OGENA MD
Individual
Pediatrics34800 BOB WILSON DR NMCSD,ATTN:MEDICAL STAFF SERVICES
SAN DIEGO, CA 92134
(619) 532-6460
1497734065DR. AMY J HEDLUND PHARMD
Individual
Pharmacist34800 BOB WILSON DR PHARMACY DEPARTMENT
SAN DIEGO, CA 92134
(619) 532-8409
1518946623DR. KARINE MONIQUE HOLLIS-PERRY M.D.
Individual
Pathology (Blood Banking & Transfusion Medicine)34800 BOB WILSON DR NAVAL MEDICAL CENTER
SAN DIEGO, CA 92134
(619) 532-7937
1083694921DR. MELANIE JO MENTOCK PHARM.D.
Individual
Pharmacist34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-8404
1194705640DR. PETER ERWIN LINZ M.D.
Individual
Internal Medicine (Cardiovascular Disease)34800 BOB WILSON DR NMCSD, ATTN : MEDICAL STAFF SERVICES
SAN DIEGO, CA 92134
(619) 532-6460
1457331902 JANEL BETH ROSSETTO PHARMD
Individual
Pharmacist34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-5095
1902886500MR. MARK ROBERT GOHL CRNA
Individual
Nurse Anesthetist, Certified Registered34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-8943
1285614891DR. RICHARD ANTHONY JORALMON II DDS
Individual
Dentist (Dental Public Health)34800 BOB WILSON DR NMCSD, ATTN: MEDICAL STAFF SERVICES
SAN DIEGO, CA 92134
(619) 532-6460
1023098431 EDITH KYU LEE PHARMD
Individual
Pharmacist34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-6310
1013997295MRS. MARYANNE ELIZABETH BAUMGARTNER CRNA
Individual
Nurse Anesthetist, Certified Registered34800 BOB WILSON DR
SAN DIEGO, CA 92134
(619) 532-8960
1780664904DR. DONALD JOE MOORE M.D.
Individual
Obstetrics & Gynecology34800 BOB WILSON DR NMCSD, ATTN: MEDICAL STAFF SERVICES
SAN DIEGO, CA 92134
(619) 532-6460
1356311906DR. EUGENE DAVID SILVERMAN MD
Individual
Nuclear Medicine (Nuclear Imaging & Therapy)34800 BOB WILSON DR NMCSD, ATTN: MEDICAL STAFF SERVICES
SAN DIEGO, CA 92134
(619) 532-6460
1982674453DR. RICHARD CHRISTOPHER CAMPIN M.D.
Individual
Radiology (Diagnostic Radiology)34800 BOB WILSON DR DEPARTMENT OF RADIOLOGY
SAN DIEGO, CA 92134
(619) 532-8670

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639367345, enumerated in the NPI registry as an "individual" on October 09, 2007

The provider is located at 34800 Bob Wilson Dr San Diego, Ca 92134 and the phone number is (619) 524-4045

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 October 09, 2007. 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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