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

Jason Douglas Beadore-Minoff, SFIDC

Individual provider Independent Duty Corpsman · NPI 1902304694

Jason Douglas Beadore-Minoff, SFIDC is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-5291
Phone: (619) 532-7968
Fax: (619) 532-8251
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1902304694
Entity typeIndividual (Type 1)
GenderMale
Credentials SFIDC
Sole proprietorYes
NPI enumeratedJanuary 27, 2018
Last updated in NPPESJanuary 27, 2018

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