Matthew Norman Case, SFIDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

License

1164814587 Issued in CA

Practice address

34800 Bob Wilson Dr
San Diego, CA 92134-0001

Phone

(619) 532-5136

NPI assigned

Mar 20, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134188048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL READINESS DIVISION SAN",
            "address_2": "3985 CUMMINGS RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921360001",
            "telephone_number": "619-508-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921340001",
            "telephone_number": "619-532-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "MATTHEW",
        "middle_name": "NORMAN",
        "name_prefix": "Mr.",
        "credential": "SFIDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "CA",
            "license": "1164814587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann M Casco, L.AC.
• Amanda Leong Case, M.D.
• Bradford Dean Case, D.C., N.D.
• Latisha Jewell Case, LMFT, PPSC
• Mandy Case, M.A.CCC/SLP
• Olga Case
• Pamela A Case, NP
• Robert B Case, LCSW
• Taylor Case
• Tracy Case, RN, IBCLC

• Independent Duty Corpsman in San Diego, CA
• Providers in San Diego, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.