Vincent Leroy Destigter, RCP 9059
Individual provider Active NPI Certified Respiratory Therapist · Jackson, CA
NPI 1285679233 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1285679233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Respiratory Therapist 227800000X
- License
- RCP9059 (CA)
- Practice address
- 723 Court St
Jackson, CA 95642-2129 - Phone
- (209) 223-7306
- Fax
- (209) 223-7309
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RCP9059 | CA | MD | Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Healthcare Ind Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | RCP9059 | CA | Yes |
Addresses
Primary practice location
723 Court St
Jackson, CA 95642-2129
Mailing address
26510 Sugar Pine Dr
Pioneer, CA 95666-9578
Phone (209) 295-7831
Other providers in Jackson, CA
- David M Melniczek MD Inc
- David R Bruce DO Inc
- Aushai De Vance
- Adam Clementi Delgado
- Denise Mathre Chiropractic Corporation
- Tammy Lynn Devictoria
- Robert Devlin
- Gianna Lynn Dillon
- Romeo Dipasupil
- Don Hollingsworth
All providers in Jackson, CA · Certified Respiratory Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.