ROSELYN DRAPIZA ILANGA


Address: Marine Corps Air Ground Combat Center, Twentynine Palms, CA 92277
Phone: 7608307475

ROSELYN DRAPIZA ILANGA (NPI# 1467635797) 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) 1467635797
Entity Type Individual
Full Name ROSELYN DRAPIZA ILANGA
Credential IDC
Practice Address Marine Corps Air Ground Combat Center
Twentynine Palms
CA 92277
Mailing Address Po Box 788285
Twentynine Palms
CA 92278-8285
Practice Telephone 7608307475
Practice Fax Number 7608307476
Mailing Telephone 7608307475
Mailing Fax Number 7608307476
Enumeration Date 2007-12-10
Last Update Date 2007-12-10
Gender Code F
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 MARINE CORPS AIR GROUND COMBAT CENTER
City TWENTYNINE PALMS
State CA
Zip Code 92277

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700848769 Bruce R Laverty Anesthesiology Marine Corps Air Ground Combat Center, Box 788250, Twentynine Palms, CA 92278-8250 2006-04-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821699737 William Bill Ngo Dentist 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 2020-11-06
1932755352 Candace Irene Myer Registered Nurse Mcagcc Mccs Stepping Stones, Del Zalle Dr Building 693, Twentynine Palms, CA 92277 2019-08-12
1831759018 Courtney Vindigni Student in an Organized Health Care Education/Training Program Twentynine Palms, Fpo, AA 92277 2019-06-19
1841857612 Jasmine E Gomez Behavior Technician 8315 Argos Rd, Unit A, 29 Palms, CA 92277 2019-05-28
1861961955 Golam Subhani Chowdhury Physician Assistant 1st Marine Division 7th Marine Regiment, Twentynine Palms, CA 92277 2018-11-19
1093283202 James Degracie Dentist 1519 Griffin Rd, Twentynine Palms, CA 92277 2018-11-06
1659829141 Sang Eun Lee Dental Corp Dentist 72724 Twentynine Palms Hwy #102, Twentynine Palms, CA 92277 2016-09-14
1396115374 Sarah Camille Paje Dentist 1591 Griffin Road, Twentynine Palms, CA 92277 2015-10-02
1053733527 Hi-desert Memorial Health Care District Clinic/Center 72724 29 Palms Hwy Ste 103, 29 Palms, CA 92277 2014-01-17
1871897389 An Nguyen Dds Prof Corp Dentist 73666 Joshua Dr., Twentynine Palms, CA 92277 2010-12-28
Find all providers in zip 92277

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
1023554532 Mikhailpietro Drilon Military Health Care Provider 3rd Lar Battalion, Twentynine Palms, CA 92278-8272 2017-01-09
1427441112 Joshua Bellavia Military Health Care Provider Commanding Officer Naval Hospital Twentynine Palms, Attn: Joshua Bellavia Box 788250, Twentynine Palms, CA 92278 2015-03-05
1730583063 Erric Leif Apeland Military Health Care Provider 1436 Third Street, Mcagcc, Twentynine Palms, CA 92278 2014-10-15
1386064608 Alex Rubang Military Health Care Provider 1659 7th St, Twentynine Palms, CA 92278-8285 2014-04-25
1013267996 Alonzo Jamelle Shields Military Health Care Provider Regimental Aid Station, 7th Marine Hq Ras, Twentynine Palms, CA 92278 2012-09-18
1255500609 Jesse John Tossetti Military Health Care Provider 6591 49 Palms Ave, Twentynine Palms, CA 92278-8263 2008-02-29
1164606463 Philip A. Rice Military Health Care Provider Building 2000 Mcagcc, Clb-7 Bas, Twentynine Palms, CA 92278-8280 2007-12-21
1427231000 Adrian Leslie Robinson Jr. Military Health Care Provider 3500 Berkeley Court, B, Twentynine Palms, CA 92277 2007-12-06
1598954893 Lejon J Jenkins Military Health Care Provider 6555 Bullion Ave, Unit B, Twentynine Palms, CA 92277-3293 2007-10-23
1699825497 Corey Mitchell Miller Military Health Care Provider Naval Hospital Twentynine Palms Bldg 1145 Sturgis St., Twentynine Palms, CA 92278-8250 2007-01-12
Find all providers in TWENTYNINE PALMS

Competitor

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City TWENTYNINE PALMS
Zip Code 92277

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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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