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Edgar Gonzalezgomez, IDC
NPI 1164245403 · Independent Duty Corpsman · San Diego, CA
Edgar Gonzalezgomez, IDC is a Independent Duty Corpsman provider in San Diego, CA (NPI 1164245403).
Provider details
- NPI number
- 1164245403
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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 Bldg 14
San Diego, CA 92134-7000
Phone: (619) 532-6266
Approximate (ZIP-level) locationGet directions
Mailing address
4765 Gurke St
San Diego, CA 92124-2915
Registry dates
- Enumerated
- 2024-11-05
- Last updated
- 2024-11-05
- Certified
- 2024-11-05
Frequently asked questions
- What is Edgar Gonzalezgomez's NPI number?
- Edgar Gonzalezgomez's National Provider Identifier (NPI) is 1164245403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edgar Gonzalezgomez's specialty?
- Edgar Gonzalezgomez is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Edgar Gonzalezgomez located?
- Edgar Gonzalezgomez's practice location on file with NPPES is 34101 Farenholt Ave Bldg 14, San Diego, CA 92134-7000.
- What is Edgar Gonzalezgomez's phone number?
- The practice phone number listed in the NPPES registry for Edgar Gonzalezgomez is (619) 532-6266.
- Is Edgar Gonzalezgomez's NPI active?
- Yes — Edgar Gonzalezgomez's NPI (1164245403) is active in the NPPES registry as of the last update on 2024-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.