DR. DARYL RAY DUTTER (NPI# 1578568366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578568366 |
| Entity Type | Individual |
| Full Name | DR. DARYL RAY DUTTER |
| Credential | M.D. |
| Practice Address |
150 Vera Ave Ripon CA 95366-2343 |
| Mailing Address |
Po Box 210 Ripon CA 95366-0210 |
| Practice Telephone | 2095994211 |
| Practice Fax Number | 2095994341 |
| Mailing Telephone | 2095994211 |
| Mailing Fax Number | 2095997348 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2020-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G57233 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G572330 | 05 | |
| CA | TAX ID | 68-0311001 | 01 |
| CA | RAILROAD MEDICARE | 080009801 | 01 |
| Street Address |
150 VERA AVE |
| City | RIPON |
| State | CA |
| Zip Code | 95366-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114559648 | Blake A Hufford | Nurse Practitioner | 150 Vera Ave, Ripon, CA 95366-2343 | 2020-02-12 |
| 1326684929 | James Jeffrey Daley Md | Family Medicine | 150 Vera Ave, Ripon, CA 95366-2343 | 2019-11-19 |
| 1629554936 | Raysha Jeanette Patterson | Family Medicine | 150 Vera Ave, Ripon, CA 95366-2343 | 2018-07-19 |
| 1992025332 | Daryl R Dutter Md Inc | Family Medicine | 150 Vera Ave, Ripon, CA 95366-2343 | 2010-06-08 |
| 1740514082 | Sarah Ellen Lilly | Physician Assistant | 150 Vera Ave, Ripon, CA 95366-2343 | 2009-09-18 |
| 1447497615 | Daryl R Dutter, Md Inc. | Non-Pharmacy Dispensing Site | 150 Vera Ave, Ripon, CA 95366-2343 | 2009-01-09 |
| 1598934812 | Travis L Wolf | Physician Assistant | 150 Vera Ave, Ripon, CA 95366 | 2008-02-21 |
| 1114927589 | James Jeffrey Daley | Family Medicine | 150 Vera Ave, Ripon, CA 95366-2343 | 2005-07-28 |
| 1487659272 | Kent Alan Hufford | Family Medicine | 150 Vera Ave, Ripon, CA 95366-2343 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452315 | Affection Healthcare LLC | Clinic/Center | 1641 North Ripon Road, Ripon, CA 95366 | 2020-06-24 |
| 1760036305 | Llanell Vararaj Dental Inc | Clinic/Center | 102 South Walnut Avenue, Rippon, CA 95366 | 2019-08-01 |
| 1003322199 | Janice Huggins Valdez | Counselor | 903 Sixth St, Ripon, CA 95366 | 2017-12-27 |
| 1154590479 | Aaron D Long | Physician Assistant | 150 Vera Avenue, Ripon, CA 95366 | 2008-02-21 |
| 1598800484 | Save Mart Supermarkets | Pharmacy | 1453 Goodwin Dr, Ripon, CA 95366 | 2007-02-20 |
| 1922250158 | Bhrs | Community/Behavioral Health | 1550 W Main St, Ripon, CA 95366 | 2008-10-21 |
| 1144478801 | Kenneth D Bowman | Physician Assistant | 150 Vera Avenue, Ripon, CA 95366 | 2008-09-05 |
| 1497198618 | Linda Vermeulen | Counselor | 1271 Spring Creek Dr, Ripon, CA 95366-2231 | 2013-04-08 |
| 1285247445 | Donald Vertrees | Physician Assistant | 904 Opal Ln, Ripon, CA 95366-2256 | 2020-08-27 |
| 1487648135 | Bethany Home Society of San Joaquin County, Inc. | Skilled Nursing Facility | 930 W Main St, Ripon, CA 95366-2325 | 2005-09-08 |
| Find all providers in zip 95366 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023057320 | Joseph Longo | Family Medicine | 1080 W Fond Du Lac St., Chn Medical Center - Ripon, Ripon, WI 54971 | 2006-06-05 |
| 1134113996 | David F Brown | Family Medicine | 635 W Oshkosh St, Ripon, WI 54971-1040 | 2005-09-08 |
| 1326684929 | James Jeffrey Daley Md | Family Medicine | 150 Vera Ave, Ripon, CA 95366-2343 | 2019-11-19 |
| 1629554936 | Raysha Jeanette Patterson | Family Medicine | 150 Vera Ave, Ripon, CA 95366-2343 | 2018-07-19 |
| 1730542408 | Thedacare, Incorporated | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2016-03-31 |
| 1073994018 | Danielle Covach | Family Medicine | 835 Parkside St, Ripon, WI 54971-8505 | 2015-06-16 |
| 1093132276 | Rachel M Kurinsky | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2014-03-25 |
| 1700222064 | Steven Taylor Rasmussen | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2013-05-14 |
| 1003115064 | Community Health Network Inc | Family Medicine | 1080 W Fond Du Lac St, Ripon, WI 54971-9286 | 2011-03-16 |
| 1992025332 | Daryl R Dutter Md Inc | Family Medicine | 150 Vera Ave, Ripon, CA 95366-2343 | 2010-06-08 |
| Find all providers in RIPON | ||||
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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.