DWIGHT A DAVID MD NPI 1487653531

NPI Information

NPI: 1487653531
Provider Name: DWIGHT A DAVID, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
15111 WHITTIER BLVD
STE 102
WHITTIER, CA
ZIP 90603
Phone: (562) 945-6440
Get Directions

Dwight A David, MD is a general practice in Whittier, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Dwight A David, MD NPI is 1487653531. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15111 WHITTIER BLVD
STE 102
WHITTIER, CA
ZIP 90603-136
Phone: (562) 945-6440
Fax: (562) 945-9121

The NPI 1487653531 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 12/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		A40764	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A407640	MEDICAID	CALIFORNIA
2	B010	OTHER	CALIFORNIA	CHAMPUS
3	00A407640	OTHER	CALIFORNIA	BLUE SHIELD
4	A85507	MEDICARE UPIN	CALIFORNIA
5	A40764	OTHER	CALIFORNIA	BCBS
6	110232328	OTHER	CALIFORNIA	MEDICARE RAIL ROAD
7	WA40764H	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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