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

Durell Jacobs, IDC

Individual provider Independent Duty Corpsman · NPI 1508231606

Durell Jacobs, IDC is an Independent Duty Corpsman in San Diego, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-5291
Phone: (619) 532-7968
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X · Licence 1710L1002X- (CA)

Record details

NPI number1508231606
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedDecember 1, 2015
Last updated in NPPESDecember 1, 2015

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