DON MICHAEL ENDRESS M.D. NPI 1326106501

NPI Information

  • NPI: 1326106501
  • Provider Name: DON MICHAEL ENDRESS M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: CEDAR FAMILY PRACTICE
  • Address: 12700 WELCH ST
    WATERFORD, CA
    ZIP 95386
  • Phone: (209) 874-2345

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NPI Details

DON MICHAEL ENDRESS M.D. is a general practice in Waterford, 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 DON MICHAEL ENDRESS M.D. NPI is 1326106501. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cedar Family Practice.

The provider's business location address is:

12700 WELCH ST
WATERFORD, CA
ZIP 95386-765
Phone: (209) 874-2345
Fax: (209) 874-3926

The provider's authorized official is Don Michael Endress .
The authorized official title is Md and has the following contact phone number (209) 874-2345.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 6/27/2008.

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
1208D00000XGeneral PracticeA53357CALIFORNIAYes

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
1053917MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
2RHM03917GMEDICAIDCALIFORNIA
300A533570MEDICARE ID-TYPE UNSPECIFIED
4F87960MEDICARE UPIN

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: 11/21/2025

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