JEFFREY WHITE


Address: 3401 Farenholt Ave, San Diego, CA 92134-0001
Phone: 7752173327

JEFFREY WHITE (NPI# 1861988628) 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) 1861988628
Entity Type Individual
Full Name JEFFREY WHITE
Credential IDC
Practice Address 3401 Farenholt Ave
San Diego
CA 92134-0001
Practice Telephone 7752173327
Mailing Telephone 7752173327
Enumeration Date 2018-07-05
Last Update Date 2018-07-05
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

Provider Secondary Practice Location

Address Telephone Number Fax Number
10191 Hooper Street, San Diego, CA 92124 7752173327

Other Providers JEFFREY WHITE

NPI Name Taxonomy Address Enumeration
1669694733 Jeffrey Neil White Social Worker 15 Lincoln St # 272, Wakefield, MA 01880-3001 2007-05-02
1538213103 Jeffrey Gordon White Social Worker 8036 Moorsbridge Rd, Suite 2, Portage, MI 49024-4419 2007-01-22
1427115195 Jeffrey Wheeler White Marriage & Family Therapist 4124 Oak Lawn Ave, Dallas, TX 75219-3136 2007-01-02
1104995570 Jeffrey Wade White Optometrist 715 N Irwin St, Hanford, CA 93230-3813 2006-11-07
1841200474 Jeffrey S White Chiropractor 281 Hospital Drive, Tappahannock, VA 22560 2006-08-08
1619985207 Jeffrey S. White Chiropractor 311 N High St, Suite B, Longview, TX 75601-6336 2006-08-03
1093761785 Jeffrey L White Family Medicine 1240 Big Jack Rd, Platteville, WI 53818-8902 2006-05-25
1245221563 Jeffrey Jason White Ophthalmology 2170 Midland Rd, Southern Pines, NC 28387-2927 2005-11-04
1174043657 Jeffrey Lee White Dentist 5680 Calle Real, Goleta, CA 93117-2317 2017-06-26
1003261447 Jeffrey White Counselor 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 2016-05-03

Office Location

Street Address 3401 FARENHOLT AVE
City SAN DIEGO
State CA
Zip Code 92134-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114217627 Christopher Wayne Swinney Military Health Care Provider 3401 Farenholt Ave, San Diego, CA 92134-0001 2011-04-18
1750865457 Christopher Lanier Military Health Care Provider 3401 Farenholt Ave, San Diego, CA 92134-0001 2018-09-18
1467954313 Daniel James Buda Military Health Care Provider 3401 Farenholt Ave, San Diego, CA 92134-0001 2018-03-07
1427393636 Raymond Lee Bedard Military Health Care Provider 3401 Farenholt Ave, Bldg 14, San Diego, CA 92134-5291 2012-11-29
1386988699 Kyle Whiteman Military Health Care Provider 3401 Farenholt Ave, Building 14, San Diego, CA 92134-2908 2012-11-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477178457 Joseph Hunter Sampson Military Health Care Provider 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1255870333 Dosh Page Physician Assistant Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 2017-02-22
1417328063 Noem Clay Gallego Military Health Care Provider 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 2015-10-08
1972999183 Justin Paul Lachney Military Health Care Provider 34101 Farenholt Avenue, San Diego, CA 92134 2015-04-14
1174963532 Ryan Anders Crane Otolaryngology Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 2013-07-01
1447591268 Amy B. Cornell Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 2013-03-04
1841562956 Christopher Patrick Androski Jr. Emergency Medical Technician, Basic Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 2012-02-04
1164717740 Jason James Weiner Internal Medicine Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 2011-06-13
1225320237 Kimberly Ann Thompson Student in an Organized Health Care Education/Training Program Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 2011-05-09
Find all providers in zip 92134

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
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92134

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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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