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Tavis Buckingham, IDC
NPI 1659587871 · Independent Duty Corpsman · San Diego, CA
Tavis Buckingham, IDC is a Independent Duty Corpsman provider in San Diego, CA (NPI 1659587871).
Provider details
- NPI number
- 1659587871
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(83/100 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
Uss New Orleans (lpd 18) Fpo Ap 96673-1701
Commanding Officer
San Diego, CA 92123
Phone: (619) 849-1480
Approximate (ZIP-level) locationGet directions
Mailing address
4837 Shields St
San Diego, CA 92124-2930
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2007-07-08
Frequently asked questions
- What is Tavis Buckingham's NPI number?
- Tavis Buckingham's National Provider Identifier (NPI) is 1659587871, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tavis Buckingham's specialty?
- Tavis Buckingham is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Tavis Buckingham located?
- Tavis Buckingham's practice location on file with NPPES is Uss New Orleans (lpd 18) Fpo Ap 96673-1701, San Diego, CA 92123.
- What is Tavis Buckingham's phone number?
- The practice phone number listed in the NPPES registry for Tavis Buckingham is (619) 849-1480.
- Is Tavis Buckingham's NPI active?
- Yes — Tavis Buckingham's NPI (1659587871) 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.