NEIL ALLEN REGERO NUCUP


Address: 1802 Rocky Shore Rd, San Diego, CA 92139-1017
Phone: 6194341163

NEIL ALLEN REGERO NUCUP (NPI# 1689934879) 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) 1689934879
Entity Type Individual
Full Name NEIL ALLEN REGERO NUCUP
Credential IDC
Practice Address 1802 Rocky Shore Rd
San Diego
CA 92139-1017
Practice Telephone 6194341163
Mailing Telephone 6194341163
Enumeration Date 2012-05-21
Last Update Date 2012-05-21
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
CA Other Service Providers

Office Location

Street Address 1802 ROCKY SHORE RD
City SAN DIEGO
State CA
Zip Code 92139-1017

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831621689 Paige Tetreau Prevention Professional 2367 Morningside St, San Diego, CA 92139 2017-03-31
1881030310 Brandon Christopher Jackson Military Health Care Provider 6810 Camphor Ln, San Diego, CA 92139 2013-05-10
1720316532 Jacobi Medical Center General Acute Care Hospital 6861 Potomac Street, 57, San Diego, CA 92139 2009-12-07
1083862296 Jennie C Bilbes Registered Nurse 6860 Bear Rier Row, Unit #1, San Diego, CA 92139 2008-08-29
1104033018 Shanon Star Murillo Internal Medicine 2401 Reo Drive, San Diego, CA 92139 2007-05-17
1851378236 Iyabo O Daramola Internal Medicine 2401 Reo Dr, San Diego, CA 92139 2005-12-28
1770180648 Darius Lee Sean Woods Military Health Care Provider 6033 Sandy Shore Ct, San Diego, CA 92139-1014 2020-10-05
1134580913 Emilio Casenave Military Health Care Provider 6031 Sandy Shore Ct, San Diego, CA 92139-1014 2016-03-08
1568855880 Jameson Basa Military Health Care Provider 1976 Sky Harbor Rd, San Diego, CA 92139-1023 2015-03-11
1558798918 Jesse Lee Reed Military Health Care Provider 6016 Rock Island Rd, San Diego, CA 92139-1030 2013-10-01
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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 92139

Improve Information

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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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