MR. TIMOTHY WAYNE SEFA


Address: 35000 Guadalcanal Ave, San Diego, CA 92140-5599
Phone: 6195248307

MR. TIMOTHY WAYNE SEFA (NPI# 1851587075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851587075
Entity Type Individual
Full Name MR. TIMOTHY WAYNE SEFA
Credential IDC
Practice Address 35000 Guadalcanal Ave
San Diego
CA 92140-5599
Mailing Address 10264 Waddell Cir
San Diego
CA 92124-2934
Practice Telephone 6195248307
Mailing Telephone 8585717402
Enumeration Date 2007-09-20
Last Update Date 2007-09-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address 35000 GUADALCANAL AVE
City SAN DIEGO
State CA
Zip Code 92140-5599

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396717492 Douglas Lee Faison Physician Assistant 35000 Guadalcanal Ave, Branch Medical Clinic, Mcrd Bld 596, San Diego, CA 92140-5599 2006-02-02
1780938209 Naval Medical Center San Diego Military Hospital 35000 Guadalcanal Ave, Bldg 596, San Diego, CA 92140 2012-11-06
1194985861 Brian James Jackson Military Health Care Provider 35000 Guadalcanal Ave, San Diego, CA 92140-5599 2008-06-16
1073773800 Ehren Lietz Military Health Care Provider 35000 Guadalcanal Ave, San Diego, CA 92140-5599 2008-06-16
1386802874 Veronyka T Young Military Health Care Provider 35000 Guadalcanal Ave, San Diego, CA 92140-5599 2008-05-30
1427224161 Lisa Kay Lawitzke-hundley Military Health Care Provider 35000 Guadalcanal Ave, Bldg 596, San Diego, CA 92140-5599 2008-05-02
1417129370 Donald Reid Rosario Military Health Care Provider 35000 Guadalcanal Ave, Bldg 596, San Diego, CA 92140-5599 2008-03-31
1396922464 Brian Patrick Livingstone Specialist/Technologist 35000 Guadalcanal Ave, San Diego, CA 92140-5599 2008-01-30
1588854368 Eduardo Malayao Magpayo Military Health Care Provider 35000 Guadalcanal Ave, San Diego, CA 92140-5599 2007-07-27
1457571044 Michael A. Carter Specialist/Technologist 35000 Guadalcanal Ave, San Diego, CA 92140-5599 2007-04-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528549177 Shelly K Gareiss Dentist Mcrd San Diego, 3800 Chosin Avenue, San Diego, CA 92140 2018-08-22
1700185303 Rachel Ann Holloway Physician Assistant 35000 Guadalcanal Street, Bhc Mcrd, San Diego, CA 92140 2011-03-22
1215158027 Susan Rohbock Physician Assistant Navy Medical Clinic - Marine Corps Recruit Depot, 35000 Guadalcanal St., San Diego, CA 92140 2007-05-01
1700927514 Anthony Joseph Marciante Dentist Branch Dental Clinic Mcrd, 43000 Midway Ave, Bldg 595, San Diego, CA 92140 2007-02-12
1861539488 Justin Oderkirk Emergency Medical Technician, Basic 1650 Henderson Ave, Bldg 310, San Diego, CA 92140 2007-01-31
1437240777 Karima Ayesh Dentist 34000 Midway Ave, Bldg 595, Apo, AA 92140 2006-09-28
1730288788 Naval Medical Center San Diego Military/U.S. Coast Guard Pharmacy 25000 Guadal Canal Rd, Bldg 256, San Diego, CA 92140 2006-09-22
1306800644 Reynaldo L Reyes Jr. Military Health Care Provider 35000 Guadalcanal St, Branch Medical Clinic Marine Corps Recruit Depot, San Diego, CA 92140 2006-04-13
1932161197 Reynaldo Aldover Guadez Military Health Care Provider Branch Medical Clinic Mcrd, 35000 Guadalcanal Street, San Diego, CA 92140 2006-04-04
1730151648 Richard William Skinner General Practice Branch Clinic Marine Corps Recruit Depot, 35000 Guadalcanal Ave, San Diego, CA 92140 2006-02-03
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1255945069 Jeremy Lee Military Health Care Provider 509 Dennery Rd Apt 145, San Diego, CA 92154-8542 2020-08-31
1013520667 Rashaad Brown Military Health Care Provider 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 2020-08-24
1932711934 Alvaro Daniel Macias Military Health Care Provider 8685 Rio San Diego Dr Apt 4344, San Diego, CA 92108-6560 2020-08-20
1689286189 Charles Luke Morris Military Health Care Provider 1675 Beta Ct, San Diego, CA 92126-7060 2020-08-18
1255943635 Stephon Peyton Frost Military Health Care Provider 2654 Mendonca Dr, San Diego, CA 92110-4263 2020-08-18
1184235871 Jaden Sandi Military Health Care Provider Swmi Sfidc Bldg 14 34101 Farenholt Ave, San Diego, CA 92134-0001 2020-08-14
1477178457 Joseph Hunter Sampson Military Health Care Provider 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
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Competitor

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City SAN DIEGO
Zip Code 92140

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Dataset Information

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.

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