IndividualActive
Timothy Edgar, IDC
NPI 1184059578 · Independent Duty Corpsman · San Diego, CA
Timothy Edgar, IDC is a Independent Duty Corpsman provider in San Diego, CA (NPI 1184059578).
Provider details
- NPI number
- 1184059578
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
- License
- D6476308 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% 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
3883 Ingraham St
Apt #u309
San Diego, CA 92109-6433
Phone: (559) 975-5651
Street-level locationGet directions
Mailing address
3883 Ingraham St
San Diego, CA 92109-6433
Registry dates
- Enumerated
- 2013-09-04
- Last updated
- 2013-09-04
Frequently asked questions
- What is Timothy Edgar's NPI number?
- Timothy Edgar's National Provider Identifier (NPI) is 1184059578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Edgar's specialty?
- Timothy Edgar is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Timothy Edgar located?
- Timothy Edgar's practice location on file with NPPES is 3883 Ingraham St, San Diego, CA 92109-6433.
- What is Timothy Edgar's phone number?
- The practice phone number listed in the NPPES registry for Timothy Edgar is (559) 975-5651.
- Is Timothy Edgar's NPI active?
- Yes — Timothy Edgar's NPI (1184059578) is active in the NPPES registry as of the last update on 2013-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.