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

Mr. Jerry K Roshell

Individual provider Independent Duty Corpsman · NPI 1629410923

Mr. Jerry K Roshell is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

6077 Fauna Dr
San Diego, CA 92115-8215
Phone: (414) 530-4079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1629410923
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 27, 2013
Last updated in NPPESJuly 27, 2013

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