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Terry Shoulders, IDC
NPI 1891949616 · Independent Duty Corpsman · San Diego, CA
Terry Shoulders, IDC is a Independent Duty Corpsman provider in San Diego, CA (NPI 1891949616).
Provider details
- NPI number
- 1891949616
- 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(80/100 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
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
3402 Tarawa Rd.
Special Boat Team Twelve Medical Department
San Diego, CA 92155-5003
Phone: (619) 437-5540
Street-level locationGet directions
Mailing address
3375 Gregory St
San Diego, CA 92104-4751
Registry dates
- Enumerated
- 2008-11-06
- Last updated
- 2008-11-06
Frequently asked questions
- What is Terry Shoulders's NPI number?
- Terry Shoulders's National Provider Identifier (NPI) is 1891949616, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Terry Shoulders's specialty?
- Terry Shoulders is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Terry Shoulders located?
- Terry Shoulders's practice location on file with NPPES is 3402 Tarawa Rd., San Diego, CA 92155-5003.
- What is Terry Shoulders's phone number?
- The practice phone number listed in the NPPES registry for Terry Shoulders is (619) 437-5540.
- Is Terry Shoulders's NPI active?
- Yes — Terry Shoulders's NPI (1891949616) is active in the NPPES registry as of the last update on 2008-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.