MEDICARE: JAMES ALFONSO ABEYTA IDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1710I1002X	Independent Duty Corpsman

General Provider Information

NPI Number	:	1942448048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES ALFONSO ABEYTA IDC

Provider Business Mailing Address
First Line	:	3402 TARAWA RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92155-5003
Country	:	US
Telephone Number	:	619-437-5539
Fax Number	:

Provider Business Practice Location Address
First Line	:	3402 TARAWA RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92155-5003
Country	:	US
Telephone Number	:	619-437-5539
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2009
Last Update Date	:	01/27/2009

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1891949616 — TERRY DWAYNE SHOULDERS IDC
Practice Location Address:

3402 TARAWA RD. , SPECIAL BOAT TEAM TWELVE MEDICAL DEPARTMENT
SAN DIEGO, CA
92155-5003

Practice Phone: 619-437-5540
Practice Fax:

1518236256 — SARA GIANAS DPT, HHP, FAFS, CSCS
Practice Location Address:

3402 TARAWA RD
SAN DIEGO, CA
92155-5003

Practice Phone: 619-537-4112
Practice Fax:

1295144210 — MR. MARVIN CAMARA SANCHEZ PA-C
Practice Location Address:

3402 TARAWA RD
SAN DIEGO, CA
92155-5003

Practice Phone: 619-437-5539
Practice Fax:

1598765620 — DR. SHAWN PATRICK SILVA D.C.
Practice Location Address:

3405 KENYON ST , SUITE 206
SAN DIEGO, CA
92110-5003

Practice Phone: 619-224-5371
Practice Fax: 619-224-5489

1699769067 — SANDRA STEDINGER MD INC
Practice Location Address:

3405 KENYON ST , SUITE 101
SAN DIEGO, CA
92110-5003

Practice Phone: 619-226-3376
Practice Fax: 619-226-3370

Directions to “ JAMES ALFONSO ABEYTA IDC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.