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

Stephon Peyton Frost, SFIDC

Individual provider Independent Duty Corpsman · NPI 1255943635

Stephon Peyton Frost, SFIDC is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

2654 Mendonca Dr
San Diego, CA 92110-4263
Phone: (518) 961-6153
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 number1255943635
Entity typeIndividual (Type 1)
GenderMale
Credentials SFIDC
Sole proprietorYes
NPI enumeratedAugust 18, 2020
Last updated in NPPESDecember 29, 2020
Certification dateDecember 29, 2020

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