MR. JUSTIN MEL MILLARD (NPI# 1053690610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053690610 |
Entity Type | Individual |
Full Name | MR. JUSTIN MEL MILLARD |
Credential | IDC |
Practice Address |
825 E Palomar St Chula Vista CA 91911-6992 |
Practice Telephone | 6192044732 |
Mailing Telephone | 6192044732 |
Enumeration Date | 2011-08-12 |
Last Update Date | 2011-08-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255569968 | Justin David Millard | Orthopaedic Surgery | 3851 Katella Ave Ste 150, Los Alamitos, CA 90720-3353 | 2009-07-01 |
1821161852 | Justin Millard | Anesthesiology | 1241 Shawhan Rd, Morrow, OH 45152-9695 | 2006-11-16 |
Street Address |
825 E PALOMAR ST |
City | CHULA VISTA |
State | CA |
Zip Code | 91911-6992 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
Find all providers in zip 91911 |
Taxonomy Code | 1710I1002X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Specialization | 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 other supporting forces such as contractors and foreign nationals. |
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356902118 | Paul Michael Isgar | Military Health Care Provider | 1155 Calle Tesoro, Chula Vista, CA 91915-1262 | 2019-06-24 |
1306401245 | Virgilio Francisco Coloso | Military Health Care Provider | 1745 Thompson Ave, Chula Vista, CA 91913-4338 | 2019-05-07 |
1821508003 | Edgar Omar Garcia | Military Health Care Provider | 454 E H St Apt 706, Chula Vista, CA 91910-7468 | 2017-10-02 |
1417376187 | Joshua Hervas | Military Health Care Provider | 2710 Apricot Court, Chula Vista, CA 91915 | 2014-04-10 |
1285059352 | Victoria Dodge | Military Health Care Provider | 50 E Flower St Apt 76, Chula Vista, CA 91910-7610 | 2014-02-26 |
1699107847 | Enyichi Nathaniel Ndubueze | Military Health Care Provider | 660 Gretchen Rd, Chula Vista, CA 91910-6258 | 2013-07-30 |
1801232236 | Edgar N Ibay | Military Health Care Provider | 1992 Caminito De La Cruz, Chula Vista, CA 91913 | 2013-05-13 |
1447695077 | Philip Labo Fabunan | Military Health Care Provider | 1484 Canvas Dr Unit 6, Chula Vista, CA 91913-4983 | 2013-05-09 |
1316225519 | Edward John Ronquillo | Military Health Care Provider | 1642 Hickory Nut Pl, Chula Vista, CA 91915-1728 | 2011-07-22 |
1477844280 | Alredo Chavez | Military Health Care Provider | 2460 Steamboat Springs Ct., Chula Vista, CA 91915 | 2011-04-27 |
Find all providers in CHULA VISTA |
City | CHULA VISTA |
Zip Code | 91911 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.