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

Mr. Timothy Daniel Severino, SOIDC

Individual provider Independent Duty Corpsman · NPI 1780055723

Mr. Timothy Daniel Severino, SOIDC is an Independent Duty Corpsman in Camp Pendleton, California. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015

Practice location Address checks out

1ST Reconnaissance Battalion Aid Station 41 Area Camp Flores
Camp Pendleton, CA 92055
Phone: (760) 725-8912
Show map & directions

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

Specialties & licences

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

Record details

NPI number1780055723
Entity typeIndividual (Type 1)
GenderMale
Credentials SOIDC
Sole proprietorNo
NPI enumeratedOctober 16, 2015
Last updated in NPPESOctober 16, 2015
Mailing address1st Reconnaissance Battalion Aid Station, 41 Area Camp Flores, Po Box 555584, Camp Pendleton, CA 92055

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