IndividualActive
Jason Brock, IDC
NPI 1811122393 · Independent Duty Corpsman · San Diego, CA
Jason Brock, IDC is a Independent Duty Corpsman provider in San Diego, CA (NPI 1811122393).
Provider details
- NPI number
- 1811122393
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
- License
- 170101002X (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
2534 Trident Way
San Diego, CA 92155-5493
Phone: (619) 437-2544
Approximate (ZIP-level) locationGet directions
Mailing address
2534 Trident Way
San Diego, CA 92155-5493
Registry dates
- Enumerated
- 2009-05-27
- Last updated
- 2009-05-27
Frequently asked questions
- What is Jason Brock's NPI number?
- Jason Brock's National Provider Identifier (NPI) is 1811122393, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Brock's specialty?
- Jason Brock is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Jason Brock located?
- Jason Brock's practice location on file with NPPES is 2534 Trident Way, San Diego, CA 92155-5493.
- What is Jason Brock's phone number?
- The practice phone number listed in the NPPES registry for Jason Brock is (619) 437-2544.
- Is Jason Brock's NPI active?
- Yes — Jason Brock's NPI (1811122393) is active in the NPPES registry as of the last update on 2009-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.