IndividualActive
Keoky Delapena, IDC STUDENT
NPI 1124619861 · Independent Duty Corpsman · San Diego, CA
Keoky Delapena, IDC STUDENT is a Independent Duty Corpsman provider in San Diego, CA (NPI 1124619861).
Provider details
- NPI number
- 1124619861
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC STUDENT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
14101 Farenholt Avenue Bldg 14
San Diego, CA 92134-5291
Phone: (619) 532-7968
Approximate (ZIP-level) locationGet directions
Mailing address
14101 Farenholt Avenue Bldg 14
San Diego, CA 92134-5291
Registry dates
- Enumerated
- 2021-01-26
- Last updated
- 2021-01-26
- Certified
- 2021-01-26
Frequently asked questions
- What is Keoky Delapena's NPI number?
- Keoky Delapena's National Provider Identifier (NPI) is 1124619861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keoky Delapena's specialty?
- Keoky Delapena is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Keoky Delapena located?
- Keoky Delapena's practice location on file with NPPES is 14101 Farenholt Avenue Bldg 14, San Diego, CA 92134-5291.
- What is Keoky Delapena's phone number?
- The practice phone number listed in the NPPES registry for Keoky Delapena is (619) 532-7968.
- Is Keoky Delapena's NPI active?
- Yes — Keoky Delapena's NPI (1124619861) is active in the NPPES registry as of the last update on 2021-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.