J. DAVID JUDGE MD NPI 1689726481

NPI Information

NPI: 1689726481
Provider Name: J. DAVID JUDGE, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
3900 LAKEVILLE HWY
PETALUMA, CA
ZIP 94954
Phone: (707) 765-3900
Get Directions

J. David Judge, MD is a cardiovascular disease internal medicine in Petaluma, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. J. David Judge, MD NPI is 1689726481. 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:

3900 LAKEVILLE HWY
PETALUMA, CA
ZIP 94954-698
Phone: (707) 765-3900

The enumeration date for this NPI number is 1/18/2007 and was last updated on 7/8/2007.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	A45528	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
1	00A455280	MEDICAID	CALIFORNIA
2	C33839	MEDICARE UPIN
3	00A455280	MEDICARE ID-TYPE UNSPECIFIED

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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