Mr. Emilio Casenave
Military Health Care Provider (Independent Duty Corpsman)

Address: 6031 Sandy Shore Ct, San Diego, CA 92139-1014
Phone: 3053993752

Mr. Emilio Casenave (NPI# 1134580913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1134580913
Entity Type Individual
Full Name Mr. Emilio Casenave
Credential IDC
Gender Male
Practice Address 6031 Sandy Shore Ct
San Diego
CA 92139-1014
Practice Telephone 3053993752
Mailing Address 6031 Sandy Shore Ct
San Diego
CA 92139-1014
Mailing Telephone 3053993752
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2016-03-08
Last Update Date 2016-03-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1710I1002X Military Health Care Provider · Independent Duty Corpsman Other Service Providers

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

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Office Location

Street Address 6031 SANDY SHORE CT
State CA
Zip Code 92139-1014

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831621689 Paige Tetreau Prevention Professional 2367 Morningside St, San Diego, CA 92139 2017-03-31
1881030310 Brandon Christopher Jackson Military Health Care Provider 6810 Camphor Ln, San Diego, CA 92139 2013-05-10
1720316532 Jacobi Medical Center General Acute Care Hospital 6861 Potomac Street, 57, San Diego, CA 92139 2009-12-07
1083862296 Jennie C Bilbes Registered Nurse 6860 Bear Rier Row, Unit #1, San Diego, CA 92139 2008-08-29
1104033018 Shanon Star Murillo Internal Medicine 2401 Reo Drive, San Diego, CA 92139 2007-05-17
1851378236 Iyabo O Daramola Internal Medicine 2401 Reo Dr, San Diego, CA 92139 2005-12-28
1770180648 Darius Lee Sean Woods Military Health Care Provider 6033 Sandy Shore Ct, San Diego, CA 92139-1014 2020-10-05
1689934879 Neil Allen Regero Nucup Military Health Care Provider 1802 Rocky Shore Rd, San Diego, CA 92139-1017 2012-05-21
1568855880 Jameson Basa Military Health Care Provider 1976 Sky Harbor Rd, San Diego, CA 92139-1023 2015-03-11
1558798918 Jesse Lee Reed Military Health Care Provider 6016 Rock Island Rd, San Diego, CA 92139-1030 2013-10-01
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Zip Code 92139

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.