IndividualActive
Jerry Smith, IDC
NPI 1659460590 · Independent Duty Corpsman · Port Hueneme, CA
Jerry Smith, IDC is a Independent Duty Corpsman provider in Port Hueneme, CA (NPI 1659460590).
Provider details
- NPI number
- 1659460590
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4643 Dock Rd
Bldg 524
Port Hueneme, CA 93043-4321
Phone: (805) 982-2411
Street-level locationGet directions
Mailing address
10213 Truett Ln
San Diego, CA 92124-3642
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jerry Smith's NPI number?
- Jerry Smith's National Provider Identifier (NPI) is 1659460590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Smith's specialty?
- Jerry Smith is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Jerry Smith located?
- Jerry Smith's practice location on file with NPPES is 4643 Dock Rd, Port Hueneme, CA 93043-4321.
- What is Jerry Smith's phone number?
- The practice phone number listed in the NPPES registry for Jerry Smith is (805) 982-2411.
- Is Jerry Smith's NPI active?
- Yes — Jerry Smith's NPI (1659460590) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.