Jason Tetzlaff, IDC
NPI 1043247091 · Independent Duty Corpsman · San Diego, CA
Jason Tetzlaff, IDC is a Independent Duty Corpsman provider in San Diego, CA (NPI 1043247091).
Provider details
- NPI number
- 1043247091
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
- License
- 2099 (AZ)
Specialties & taxonomies
Other Service Providers
- Specialist174400000X
Other Service Providers
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2008-04-22
Frequently asked questions
- What is Jason Tetzlaff's NPI number?
- Jason Tetzlaff's National Provider Identifier (NPI) is 1043247091, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Tetzlaff's specialty?
- Jason Tetzlaff is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Jason Tetzlaff located?
- Jason Tetzlaff's practice location on file with NPPES is 3402 Tarawa Rd, San Diego, CA 92155-5176.
- What is Jason Tetzlaff's phone number?
- The practice phone number listed in the NPPES registry for Jason Tetzlaff is (619) 437-5539.
- Is Jason Tetzlaff's NPI active?
- Yes — Jason Tetzlaff's NPI (1043247091) is active in the NPPES registry as of the last update on 2008-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.