MR. DAVID WALTER BRISTOW (NPI# 1376568360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376568360 |
| Entity Type | Individual |
| Full Name | MR. DAVID WALTER BRISTOW |
| Credential | FNP PAC |
| Practice Address |
111 Raley Blvd Suite 140 Chico CA 95928-8351 |
| Practice Telephone | 5303459455 |
| Mailing Telephone | 5303459455 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2009-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 13525 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
487125 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326542432 | David Bristow | Behavioral Analyst | 1236 Helena Ave, Helena, MT 59601-2948 | 2018-03-22 |
| 1881737336 | David H Bristow | Orthopaedic Surgery | 2045 Franklin St, Denver, CO 80205-5437 | 2007-02-15 |
| Street Address |
111 RALEY BLVD SUITE 140 |
| City | CHICO |
| State | CA |
| Zip Code | 95928-8351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306839923 | Stephen F Pearce | Internal Medicine | 111 Raley Blvd, Suite 100, Chico, CA 95928-8351 | 2005-08-30 |
| 1811360571 | Krista Rivero | Registered Nurse | 111 Raley Blvd, Suite 220, Chico, CA 95928-8351 | 2015-11-03 |
| 1932583622 | Feather River Hospital | Durable Medical Equipment & Medical Supplies | 111 Raley Blvd, Suite 200, Chico, CA 95928-8351 | 2015-07-13 |
| 1518344175 | Suk Young Ahn Dds Inc | Dentist | 111 Raley Blvd, Suite 260, Chico, CA 95928-8351 | 2015-05-04 |
| 1710317912 | Tanya Nolan | Midwife | 111 Raley Blvd, Suite 220, Chico, CA 95928-8351 | 2013-11-25 |
| 1801226162 | Enloe Medical Center | Internal Medicine | 111 Raley Blvd, Suite 100, Chico, CA 95928-8351 | 2013-11-22 |
| 1629341060 | David J Gajda Md A Professional Corporation | Eyewear Supplier (Equipment, not the service) | 111 Raley Blvd, # 240, Chico, CA 95928-8351 | 2012-02-15 |
| 1023325347 | Chico Orthopaedic Surgery and Sports Medical Associates | Orthopaedic Surgery | 111 Raley Blvd, Suite 160, Chico, CA 95928-8351 | 2010-09-08 |
| 1033425889 | Bernadette Marie Connolly | Physician Assistant | 111 Raley Blvd, Suite 140, Chico, CA 95928-8351 | 2010-08-30 |
| 1982876785 | Hoan Van Tran | Internal Medicine | 111 Raley Blvd, Chico, CA 95928-8351 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232672 | Mary Ester Potts | Behavior Technician | 1611 Chico River Road, Chico, CA 95928 | 2020-07-09 |
| 1679105605 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1910 E. 20th Street, Chico, CA 95928 | 2020-02-07 |
| 1790250306 | Amy Groven | Counselor | 7 Williamsburg Lane, Chico, CA 95928 | 2018-10-10 |
| 1093217424 | Bonnie Jo Nelson | Registered Nurse | 91 Elderberry Court, Chico, CA 95928 | 2018-03-01 |
| 1174039036 | Deer Creek Surgery Center LLC | Clinic/Center | 127 Raley Blvd., Chico, CA 95928 | 2017-12-14 |
| 1174063606 | Erika Beteran | Counselor | 344 W 8th St, Chico, CA 95928 | 2017-03-02 |
| 1356723266 | Arjun S Sandhu | Podiatrist | 1806 Foundation Lane, Chico, CA 95928 | 2015-06-26 |
| 1912394735 | Kirk Bjella | Pediatrics | 1515 Springfield Dr, Children's Health Center, Chico, CA 95928 | 2015-04-20 |
| 1215346309 | Kathleen Renee Dahlstrom | Marriage & Family Therapist | 315 Wall St Ste 5, Chico, CA 95928 | 2014-08-04 |
| 1740696574 | Northern Valley Catholic Social Service, Inc. | Case Management | 1297 Park Avenue, Chico, CA 95928 | 2014-07-01 |
| Find all providers in zip 95928 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275046526 | Ryan Elizabeth Prendergast | Physician Assistant | 1720 Esplanade Fl 2, Chico, CA 95926-3315 | 2017-11-08 |
| 1356643621 | Joshua Ismael Calderon | Physician Assistant | 1531 Esplanade # 72, Chico, CA 95926-3310 | 2010-11-18 |
| 1902092786 | Cynthia Maureen Hale | Physician Assistant | 145 Mission Ranch Blvd., Suite 110, Chico, CA 95926 | 2007-09-14 |
| 1851470868 | Christopher John Buckley | Physician Assistant | 2581 California Park Dr, Apt. 284, Chico, CA 95928-4012 | 2006-11-02 |
| 1255430658 | Francis Anthony Croal | Physician Assistant | 1354 East Ave Ste R, Chico, CA 95926-7383 | 2006-09-22 |
| 1578514493 | Renee G Christenson | Physician Assistant | 251 Cohasset Rd Ste 240, Chico, CA 95926-2235 | 2006-05-15 |
| 1316904428 | Loren Glen Ott | Physician Assistant | 1600 Esplanade, Suite C, Chico, CA 95926-3369 | 2006-05-01 |
| 1023006715 | William A Sprotte | Physician Assistant | 277 Cohasset Dr., Chico, CA 95926 | 2005-10-07 |
| 1134731268 | Imelda Miranda Mata | Physician Assistant | 80 Declaration Dr, Chico, CA 95973-4900 | 2020-08-19 |
| 1396381463 | Caitlin Collins | Physician Assistant | 2 Governors Ln, Chico, CA 95926-6300 | 2019-11-22 |
| Find all providers in CHICO | ||||
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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.