DR. DAVID FREDERICK WILLAT (NPI# 1104160795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104160795 |
| Entity Type | Individual |
| Full Name | DR. DAVID FREDERICK WILLAT |
| Credential | DC |
| Practice Address |
5742 Owls Nest Dr Santa Rosa CA 95409-4350 |
| Practice Telephone | 7075371036 |
| Practice Fax Number | 7075371261 |
| Mailing Telephone | 7075371036 |
| Mailing Fax Number | 7075371261 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NX0800X |
Chiropractor Specialization: Orthopedic |
16088 | CA | Chiropractic Providers |
| Y | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
16088 | CA | Chiropractic Providers |
| Street Address |
5742 OWLS NEST DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95409-4350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1194178756 | Ana Ceniceros | Registered Nurse | 7425 Los Guilucos Rd, Santa Rosa, CA 95409 | 2016-07-19 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1568884849 | Christopher Cincotta | Counselor | 540 Middle Rincon Road, Santa Rosa, CA 95409 | 2014-01-06 |
| 1104186626 | Gina Ruth Sarpy | Marriage & Family Therapist | 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 | 2012-05-17 |
| 1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
| 1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
| 1497063564 | Edmundo Simon Martinez IIi IIi | Occupational Therapist | 5555 Montgomery Dr., Santa Rosa, CA 95409 | 2010-09-22 |
| Find all providers in zip 95409 | ||||
| Taxonomy Code | 111NI0013X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718160 | Matthew Anthony O'brien | Chiropractor | 3753 Ridgeview Ct, Morgan Hill, CA 95037-6820 | 2020-07-23 |
| 1699234559 | Skala Chiropractic Inc | Chiropractor | 4413 Sierra Del Sol, Paradise, CA 95969 | 2019-03-19 |
| 1508345539 | City Line Medical Management | Chiropractor | 15741 Woodruff Ave Ste B, Bellflower, CA 90706-4083 | 2018-08-10 |
| 1033612197 | Ian Fitz-gibbon | Chiropractor | 3668 S Soto St, Vernon, CA 90058-1701 | 2018-03-15 |
| 1982114476 | Jennie Lynfred Logue | Chiropractor | 3868 S Centinela Ave Apt 12, Los Angeles, CA 90066-4459 | 2017-10-10 |
| 1477070969 | Gurwinder Kaur Bath | Chiropractor | 2628 El Camino Ave Ste C1, Sacramento, CA 95821-5936 | 2017-08-24 |
| 1407268493 | Greg Michaels LLC | Chiropractor | 6121 Telegraph Rd, Ste 200, Commerce, CA 90040-2501 | 2014-05-23 |
| 1679990782 | Jagtar S Dhesi Dc A Chiropractic Corp | Chiropractor | 947 Bluebell Dr, Livermore, CA 94551-5319 | 2014-03-26 |
| 1598187635 | Ida Molayem | Chiropractor | 6399 Wilshire Blvd Ste 110, Los Angeles, CA 90048-5704 | 2014-01-08 |
| 1619300902 | Daniel F Hillenbrand | Chiropractor | 1561 Trawler St, Discovery Bay, CA 94505-9346 | 2013-08-09 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95409 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.