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

Mr. Jerry M Smith Jr., IDC

Individual provider Independent Duty Corpsman · NPI 1659460590

Mr. Jerry M Smith Jr., IDC is an Independent Duty Corpsman in Port Hueneme, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4643 Dock Rd Bldg 524
Port Hueneme, CA 93043-4321
Phone: (805) 982-2411
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 number1659460590
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESJuly 8, 2007

Other providers in Port Hueneme