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

Gabriel Anthony Bocanegra, SUBIDC

Individual provider Independent Duty Corpsman · NPI 1851527568

Gabriel Anthony Bocanegra, SUBIDC is an Independent Duty Corpsman in San Diego, California. Licensed in Connecticut. Registered with an NPI since 2009.

Licensed in
CT
In the registry since
2009

Practice location Address checks out

34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone: (619) 532-5112
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X (CT)

Record details

NPI number1851527568
Entity typeIndividual (Type 1)
GenderMale
Credentials SUBIDC
Sole proprietorNo
NPI enumeratedJune 9, 2009
Last updated in NPPESAugust 2, 2012

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