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

Miss. Shavion Bates, IDC

Individual provider Independent Duty Corpsman · NPI 1508130030

Miss. Shavion Bates, IDC is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

34101 Farenholt Ave
San Diego, CA 92134-7000
Phone: (917) 388-6552
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 number1508130030
Entity typeIndividual (Type 1)
GenderFemale
Credentials IDC
Sole proprietorYes
NPI enumeratedMarch 1, 2012
Last updated in NPPESMarch 1, 2012

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