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

John Michael Connelly, IDC

Individual provider Independent Duty Corpsman · NPI 1659873305

John Michael Connelly, IDC is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-7000
Phone: (717) 856-1894
Show map & directions

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

Specialties & licences

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

Record details

NPI number1659873305
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedMarch 7, 2018
Last updated in NPPESMarch 7, 2018

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