IndividualActive
Erik Ketelsen, IDC
NPI 1093043051 · Independent Duty Corpsman · Port Hueneme, CA
Erik Ketelsen, IDC is a Independent Duty Corpsman provider in Port Hueneme, CA (NPI 1093043051).
Provider details
- NPI number
- 1093043051
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
4653 Dock Rd
Bldg 524
Port Hueneme, CA 93043-4321
Phone: (619) 534-7920
Street-level locationGet directions
Mailing address
18 Aliso Ln
Ventura, CA 93001-3214
Registry dates
- Enumerated
- 2009-12-01
- Last updated
- 2009-12-01
Frequently asked questions
- What is Erik Ketelsen's NPI number?
- Erik Ketelsen's National Provider Identifier (NPI) is 1093043051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Erik Ketelsen's specialty?
- Erik Ketelsen is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Erik Ketelsen located?
- Erik Ketelsen's practice location on file with NPPES is 4653 Dock Rd, Port Hueneme, CA 93043-4321.
- What is Erik Ketelsen's phone number?
- The practice phone number listed in the NPPES registry for Erik Ketelsen is (619) 534-7920.
- Is Erik Ketelsen's NPI active?
- Yes — Erik Ketelsen's NPI (1093043051) is active in the NPPES registry as of the last update on 2009-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.