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

Samuel Gonzalez, IDC

Individual provider Independent Duty Corpsman · NPI 1083492391

Samuel Gonzalez, IDC is an Independent Duty Corpsman in San Diego, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

34101 Farenholt Ave
San Diego, CA 92134-7000
Phone: (915) 330-7612
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 number1083492391
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedSeptember 18, 2023
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 18, 2023

Other providers in San Diego