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

Joseph Roman Shields, IDC

Individual provider Independent Duty Corpsman · NPI 1497280929

Joseph Roman Shields, IDC is an Independent Duty Corpsman in San Diego, California. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017

Practice location Address checks out

3166 Barnett Ave
San Diego, CA 92110-4204
Phone: (619) 876-6546
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 SP409958 (OH)

Record details

NPI number1497280929
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedApril 21, 2017
Last updated in NPPESApril 21, 2017

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