Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carletus M Patrick, IDC

Individual provider Independent Duty Corpsman · NPI 1013195718

Carletus M Patrick, IDC is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

2450 Craven St
San Diego, CA 92136-5599
Phone: (619) 556-6081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1013195718
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedFebruary 5, 2008
Last updated in NPPESSeptember 6, 2011

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