EDGAR N IBAY (NPI# 1801232236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801232236 |
Entity Type | Individual |
Full Name | EDGAR N IBAY |
Credential | IDC |
Practice Address |
1992 Caminito De La Cruz Chula Vista CA 91913 |
Practice Telephone | 7608283833 |
Mailing Telephone | 7608283833 |
Enumeration Date | 2013-05-13 |
Last Update Date | 2013-05-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IDC | 1710-1002X | 01 |
Street Address |
1992 CAMINITO DE LA CRUZ |
City | CHULA VISTA |
State | CA |
Zip Code | 91913 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134774342 | Tiffany Sheffield | Physical Therapist | 1392 E Palomar Street, Suite 503, Chula Vista, CA 91913 | 2019-08-05 |
1710457379 | Jacqueline Rae Dagostino | Physical Therapist | 1392 E Palomar St Suite 503, Chula Vista, CA 91913 | 2018-11-27 |
1750806840 | Evette Pablo | Registered Nurse | 904 Saint Germain Road, Chula Vista, CA 91913 | 2017-08-09 |
1760912364 | Ferdinand San Jose | Registered Nurse | 1954 Marquis Court, Chula Vista, CA 91913 | 2017-06-15 |
1447640693 | Ian Christopher So Ignacio | Occupational Therapy Assistant | 1575 Golden Gate Ave, Chula Vista, CA 91913 | 2015-01-27 |
1396154274 | Helen Moreno | Dentist | 2009 Chardonnay Terrace, Chula Vista, CA 91913 | 2014-08-05 |
1699093765 | Medical Logistics Management Inc. | Ambulance | 3130 Bonita Rd., Chula Vista, CA 91913 | 2010-05-13 |
1295066959 | Candice Aquino Claudio | Physical Therapist | 1400 E. Palomar, Chula Vista, CA 91913 | 2010-01-20 |
1417136128 | Alshafie Mohamed Hassan | Internal Medicine | 1400 East Palomar Street, Chula Vista, CA 91913 | 2007-10-30 |
1184779175 | Vivian Kwan Cavan | Dentist | 945 Otay Lakes Road Suite H, Chula Vista, CA 91913 | 2007-01-23 |
Find all providers in zip 91913 |
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 |
---|---|---|---|---|
1356902118 | Paul Michael Isgar | Military Health Care Provider | 1155 Calle Tesoro, Chula Vista, CA 91915-1262 | 2019-06-24 |
1306401245 | Virgilio Francisco Coloso | Military Health Care Provider | 1745 Thompson Ave, Chula Vista, CA 91913-4338 | 2019-05-07 |
1821508003 | Edgar Omar Garcia | Military Health Care Provider | 454 E H St Apt 706, Chula Vista, CA 91910-7468 | 2017-10-02 |
1417376187 | Joshua Hervas | Military Health Care Provider | 2710 Apricot Court, Chula Vista, CA 91915 | 2014-04-10 |
1285059352 | Victoria Dodge | Military Health Care Provider | 50 E Flower St Apt 76, Chula Vista, CA 91910-7610 | 2014-02-26 |
1699107847 | Enyichi Nathaniel Ndubueze | Military Health Care Provider | 660 Gretchen Rd, Chula Vista, CA 91910-6258 | 2013-07-30 |
1447695077 | Philip Labo Fabunan | Military Health Care Provider | 1484 Canvas Dr Unit 6, Chula Vista, CA 91913-4983 | 2013-05-09 |
1053690610 | Justin Mel Millard | Military Health Care Provider | 825 E Palomar St, Chula Vista, CA 91911-6992 | 2011-08-12 |
1316225519 | Edward John Ronquillo | Military Health Care Provider | 1642 Hickory Nut Pl, Chula Vista, CA 91915-1728 | 2011-07-22 |
1477844280 | Alredo Chavez | Military Health Care Provider | 2460 Steamboat Springs Ct., Chula Vista, CA 91915 | 2011-04-27 |
Find all providers in CHULA VISTA |
City | CHULA VISTA |
Zip Code | 91913 |
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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.