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

Spencer Freres Jefferson, IDHS

Individual provider Independent Duty Medical Technicians · NPI 1447136288

Spencer Freres Jefferson, IDHS is an Independent Duty Medical Technicians in San Diego, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

38990 Midway Ave
San Diego, CA 92140-5560
Phone: (619) 524-4404
Show map & directions

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

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1447136288
Entity typeIndividual (Type 1)
GenderMale
Credentials IDHS
Sole proprietorNo
NPI enumeratedAugust 15, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025

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