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Chantelle Ponder, IDC
NPI 1104467737 · Independent Duty Corpsman · San Diego, CA
Chantelle Ponder, IDC is a Independent Duty Corpsman provider in San Diego, CA (NPI 1104467737).
Provider details
- NPI number
- 1104467737
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone: (619) 532-6400
Street-level locationGet directions
Mailing address
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Additional practice locations (1)
- 34800 Bob Wilson DrSan Diego, CA 92134-1098Phone: (619) 532-6400
Registry dates
- Enumerated
- 2019-10-04
- Last updated
- 2019-10-04
Frequently asked questions
- What is Chantelle Ponder's NPI number?
- Chantelle Ponder's National Provider Identifier (NPI) is 1104467737, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Chantelle Ponder's specialty?
- Chantelle Ponder is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Chantelle Ponder located?
- Chantelle Ponder's practice location on file with NPPES is 34800 Bob Wilson Dr, San Diego, CA 92134-1098.
- What is Chantelle Ponder's phone number?
- The practice phone number listed in the NPPES registry for Chantelle Ponder is (619) 532-6400.
- Is Chantelle Ponder's NPI active?
- Yes — Chantelle Ponder's NPI (1104467737) is active in the NPPES registry as of the last update on 2019-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.