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

Timothy John Ruane, IDC

Individual provider Independent Duty Corpsman · NPI 1013796192

Timothy John Ruane, IDC 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: (619) 532-7968
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 number1013796192
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedSeptember 27, 2023
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023

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