IndividualActive
Eugene Hawks, IDC
NPI 1558043786 · Independent Duty Corpsman · San Diego, CA
Provider details
- NPI number
- 1558043786
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
34800 Bob Wilson Dr
San Diego, CA 92134-5000
Phone: (951) 663-2202
Street-level locationGet directions
Mailing address
34800 Bob Wilson Dr
San Diego, CA 92134-5000
Registry dates
- Enumerated
- 2023-08-07
- Last updated
- 2023-08-07
- Certified
- 2023-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.