MR. JUSTIN PAUL VECERE SR. (NPI# 1255758967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255758967 |
Entity Type | Individual |
Full Name | MR. JUSTIN PAUL VECERE SR. |
Credential | IDC |
Practice Address |
934 Franklin Blvd Lemoore CA 93246-4600 |
Mailing Address |
937 Franklin Blvd Lemoore CA 93246-4700 |
Practice Telephone | 5599984929 |
Mailing Telephone | 5599984929 |
Enumeration Date | 2014-03-20 |
Last Update Date | 2014-03-20 |
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 |
934 FRANKLIN BLVD |
City | LEMOORE |
State | CA |
Zip Code | 93246-4600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235596701 | Eric Earnshaw | General Practice | 937 Franklin Blvd, Lemoore, CA 93246 | 2016-01-28 |
1699167734 | Troy Biornstad | Pharmacist | 937 Franklin Blvd, Lemoore, CA 93246 | 2015-02-26 |
1497152045 | Naval Hospital Lemoore | Military Hospital | 937 Franklin Avenue, Fpo, AA 93246 | 2014-11-25 |
1841610953 | Gillian Wackowski | Family Medicine | 937 Franklin Blvd, Lemoore, CA 93246 | 2014-04-16 |
1285861393 | Michael Martin Lee | Family Medicine | 937 Franklin Ave, Naval Health Clinic Lemoore, Lemoore, CA 93246 | 2009-06-16 |
1639149875 | Eilene R. Herrera | Nurse Anesthetist, Certified Registered | 937 Franklin Ave, Naval Hospital Lemoore, Lemoore, CA 93246 | 2006-01-23 |
1831689793 | Gerald Patrick Durkan IIi | General Practice | Carrier Air Wing Nine 30 Skytrain Ave Unit 9, Lemoore, CA 93246-0001 | 2018-05-16 |
1790878270 | George Sargeits | Chiropractor | Naval Air Station Lemore Hospital, 937 Franklin Avenue, Lemoore, CA 93246-0001 | 2006-10-02 |
1356300263 | Naval Health Clinic Lemoore | Clinic/Center | 937 Franklin Avenue, Lemoore, CA 93246-0001 | 2006-03-20 |
1962475970 | James C Dunn II | Preventive Medicine | Naval Hospital Lemoore 937 Franklin Ave, Attn: Physician Credentialing/staff Services, Lemoore, CA 93246-0001 | 2006-02-09 |
Find all providers in zip 93246 |
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 |
---|---|---|---|---|
1528472420 | Latoya Powell | Military Health Care Provider | Naval Hospital Lemoore, 937 Franklin Avenue, Lemoore, CA 93246-5004 | 2014-06-18 |
1437595865 | Christopher Climaco Williams | Military Health Care Provider | 937 Franklin Blvd, Lemoore, CA 93246-4700 | 2013-05-13 |
1467762914 | David Orolfo Sarsozo | Military Health Care Provider | 937 Franklin Blvd, Naval Hospital Lemoore, Lemoore, CA 93246-0001 | 2010-10-18 |
1912210741 | Arcie Zamora Santos | Military Health Care Provider | 937 Franklin Blvd, Lemoore, CA 93246-4700 | 2010-07-21 |
1164661732 | Louie Badiola Bismonte | Military Health Care Provider | 937 Franklin Blvd, Lemoore, CA 93246-4700 | 2009-02-05 |
1841498227 | Kathleen L Pierce | Military Health Care Provider | 937 Franklin Blvd, Lemoore, CA 93246-4700 | 2007-07-06 |
1295779346 | Bruce L. Richardson Jr. | Military Health Care Provider | 937 Franklin Ave, Branch Health Clinic Lemoore, Lemoore, CA 93246-0001 | 2006-06-16 |
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 |
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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.