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NICKOLAS VINCENT PONCE IDC NPI 1265951305


NPI Information

NPI: 1265951305
Provider Name: NICKOLAS VINCENT PONCE, IDC
Classification: Military Health Care Provider - 1710I1002X
Entity Type: Individual

Specialization: Independent Duty Corpsman

Address:
162 1ST ST BLDG 1402
PORT HUENEME, CA
ZIP 93043
Phone: (805) 982-6320
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Nickolas Vincent Ponce, IDC is an independent duty corpsman military health care provider in Port Hueneme, CA. The provider is 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. Nickolas Vincent Ponce, IDC NPI is 1265951305. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

162 1ST ST BLDG 1402
PORT HUENEME, CA
ZIP 93043-316
Phone: (805) 982-6320

The enumeration date for this NPI number is 9/10/2017 and was last updated on 9/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11710I1002XMilitary Health Care ProviderIndependent Duty CorpsmanYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.