David William Petrovay, PHD

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

601 Leahy St
Suite 107
Redwood City, CA 94061-3957

Phone

(650) 400-7461

NPI assigned

Feb 27, 2017

Last updated

Feb 27, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1063952810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 LEAHY ST",
            "address_2": "SUITE 107",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613957",
            "telephone_number": "650-400-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 LEAHY ST",
            "address_2": "SUITE 107",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613957",
            "telephone_number": "650-400-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROVAY",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Thomas Peters, PHD
• Pierce Peters
• Donna Kay Conkling Petersen, MPT
• Georgia Peterson
• Sarah Peterson
• Lindsay F Pettit, C.N.M., R.N.P.
• Barry David Pfeffer, LCSW
• Bryan Pham
• Judy Pham
• Tien Q. Pham, MD

• Specialist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.