What is Jared Formulak's NPI number?

Jared Formulak's National Provider Identifier (NPI) is 1720830946, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jared Formulak's specialty?

Jared Formulak is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).

Where is Jared Formulak located?

Jared Formulak's practice location on file with NPPES is 34800 Bob Wilson Dr, San Diego, CA 92134-1098.

What is Jared Formulak's phone number?

The practice phone number listed in the NPPES registry for Jared Formulak is (304) 261-8914.

Is Jared Formulak's NPI active?

Yes — Jared Formulak's NPI (1720830946) is active in the NPPES registry as of the last update on 2024-04-02.

IndividualActive

Jared Formulak

NPI 1720830946 · Independent Duty Corpsman · San Diego, CA

Jared Formulak is a Independent Duty Corpsman provider in San Diego, CA (NPI 1720830946).

Provider details

NPI number: 1720830946
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Profile Score

Established profile(50/100 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 92134-1098

Phone: (304) 261-8914

Street-level locationGet directions

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Mailing address