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Samuel Gonzalez, IDC
NPI 1083492391 · Independent Duty Corpsman · San Diego, CA
Samuel Gonzalez, IDC is a Independent Duty Corpsman provider in San Diego, CA (NPI 1083492391).
Provider details
- NPI number
- 1083492391
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% 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
34101 Farenholt Ave
San Diego, CA 92134-7000
Phone: (915) 330-7612
Approximate (ZIP-level) locationGet directions
Mailing address
11415 Oak Creek Dr
Lakeside, CA 92040-1236
Registry dates
- Enumerated
- 2023-09-18
- Last updated
- 2023-09-18
- Certified
- 2023-09-18
Frequently asked questions
- What is Samuel Gonzalez's NPI number?
- Samuel Gonzalez's National Provider Identifier (NPI) is 1083492391, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Gonzalez's specialty?
- Samuel Gonzalez is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Samuel Gonzalez located?
- Samuel Gonzalez's practice location on file with NPPES is 34101 Farenholt Ave, San Diego, CA 92134-7000.
- What is Samuel Gonzalez's phone number?
- The practice phone number listed in the NPPES registry for Samuel Gonzalez is (915) 330-7612.
- Is Samuel Gonzalez's NPI active?
- Yes — Samuel Gonzalez's NPI (1083492391) is active in the NPPES registry as of the last update on 2023-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.