FLETCHER CARSON (NPI# 1407227184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407227184 |
| Entity Type | Individual |
| Full Name | FLETCHER CARSON |
| Credential | IDC |
| Practice Address |
719 Erica Street Escondido CA 92027 |
| Practice Telephone | 7604587992 |
| Mailing Telephone | 7604587992 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
719 ERICA STREET |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912404179 | Shaunntanel Lund | Midwife | 16625 New Moon Lane, Escondido, CA 92027 | 2018-04-12 |
| 1457871766 | Stephen Martinez | Physical Therapy Assistant | 466 Devonshire Glen, Escondido, CA 92027 | 2017-06-27 |
| 1336413426 | Nadir T. Khuri | General Practice | 3284 White Hawk Rd., Escondido, CA 92027 | 2012-03-07 |
| 1598914624 | Maria Graciela Herrera | Case Manager/Care Coordinator | 463 N Midway, Ste 200, Escondido, CA 92027 | 2008-09-12 |
| 1891850913 | Anna Kansky | Dentist | 1711 E Valley Pkwy, Millennium Dental, Escondido, CA 92027 | 2006-12-27 |
| 1629164322 | County of San Diego | Exclusive Provider Organization | 420 North Falconer Road, Escondido, CA 92027 | 2006-10-04 |
| 1619968005 | Kaufman Physical Therapy Inc | Physical Therapist | 1318 Mountain Park Place, Escondido, CA 92027 | 2005-11-03 |
| 1336670645 | Ashley Ingram | Dentist | 430 N Rose St, Escondido, CA 92027 | 2017-03-27 |
| 1487899233 | Lindsley Marie Shaw | Case Manager/Care Coordinator | 463 N Midway, Escondido, CA 92027 | 2008-12-09 |
| 1609880111 | Arnold H Tripp | Physical Therapist | 1318 Mountain Park Place, Escondido, CA 92027 | 2006-07-28 |
| Find all providers in zip 92027 | ||||
| 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 |
|---|---|---|---|---|
| 1588183610 | Reginald Louis | Military Health Care Provider | 646 Shadywood Dr, Escondido, CA 92026-1429 | 2017-09-09 |
| 1982146965 | Amanda Hintz | Military Health Care Provider | 1201 Lancer Gln, Escondido, CA 92029-3002 | 2016-11-08 |
| 1760838759 | Carl A Norman | Military Health Care Provider | 630 Thunder Gln, Escondido, CA 92027-3976 | 2016-05-09 |
| 1518337971 | Olga Carpenter | Military Health Care Provider | 1280 Lancer Gln, Escondido, CA 92029-3005 | 2015-09-29 |
| 1588034060 | Andrew Paul Glemser | Military Health Care Provider | 505 San Pasqual Valley Rd, #199, Escondido, CA 92027-3973 | 2015-09-28 |
| 1285035808 | Christian Mewes | Military Health Care Provider | 913 Sonia Pl, Escondido, CA 92026-3306 | 2014-09-15 |
| 1396057683 | Manuel Valle | Military Health Care Provider | 910 Del Dios Hwy Apt 97, Escondido, CA 92029-2250 | 2010-07-02 |
| 1518528504 | James Hammond | Military Health Care Provider | 1201 Lancer Gln, Escondido, CA 92029-3002 | 2019-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547227 | Landri Acosta | Military Health Care Provider | 5075 Tranquil Way # 102, Oceanside, CA 92057-7870 | 2020-10-29 |
| 1649879537 | David Michael Soliani | Military Health Care Provider | Bld 4101 Stuart Mesa Road, Camp Pendleton, CA 92055-5584 | 2020-10-21 |
| 1801494182 | Luis Alberto Necoechea | Military Health Care Provider | 1st Recon Bn Bas, Oceanside, CA 92055 | 2020-10-09 |
| 1770180648 | Darius Lee Sean Woods | Military Health Care Provider | 6033 Sandy Shore Ct, San Diego, CA 92139-1014 | 2020-10-05 |
| 1174130744 | Daniel Carrera | Military Health Care Provider | 2645 W Canyon Ave Apt 450, San Diego, CA 92123-4700 | 2020-09-28 |
| 1316551740 | Kyle Bode Francis | Military Health Care Provider | 3149 Murray Ridge Rd, San Diego, CA 92123-2917 | 2020-09-02 |
| 1356955918 | Daniel Carr | Military Health Care Provider | 5423 Lake Murray Blvd Apt 7, La Mesa, CA 91942-1551 | 2020-09-01 |
| 1255945069 | Jeremy Lee | Military Health Care Provider | 509 Dennery Rd Apt 145, San Diego, CA 92154-8542 | 2020-08-31 |
| 1639782899 | Tyler Collin Sparks | Military Health Care Provider | 1 Mrb, Camp Pendletion, CA 92055 | 2020-08-27 |
| 1013520667 | Rashaad Brown | Military Health Care Provider | 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
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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.