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

Jacob Ryan Whitfield

Individual provider Independent Duty Corpsman · NPI 1114694569

Jacob Ryan Whitfield is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

34101 Farenholt Ave
San Diego, CA 92134-7000
Phone: (727) 317-7396
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Independent Duty Corpsman Taxonomy 1710I1002X

Record details

NPI number1114694569
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2021
Last updated in NPPESFebruary 22, 2022
Certification dateFebruary 22, 2022

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