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

Ryan Alexader Shaffer

Individual provider Independent Duty Corpsman · NPI 1114623329

Ryan Alexader Shaffer is an Independent Duty Corpsman in San Diego, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-7000
Phone: (661) 309-5610
Show map & directions

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

Specialties & licences

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

Record details

NPI number1114623329
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 31, 2023
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023

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