Don Michael Endress M.D.
Organization Active NPI General Practice Physician · Waterford, CA
NPI 1326106501 · NPPES record last updated Jun 27, 2008
Key facts
- NPI
- 1326106501
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- A53357 (CA)
- Legal business name
- DON MICHAEL ENDRESS M.D.
- Practice address
- 12700 Welch St
Waterford, CA 95386-8765 - Phone
- (209) 874-2345
- Fax
- (209) 874-3926
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Don Michael Endress, M.D.
- Title
- MD
- Phone
- (209) 874-2345
National Provider Directory
Locations
3191 El Prado Rd
#D
La Grange, CA 95329
Phone (209) 852-2764
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | A53357 | CA | Yes |
Addresses
Primary practice location
12700 Welch St
Waterford, CA 95386-8765
Mailing address
2416 Canasta CT
La Grange, CA 95329-9633
Phone (209) 874-2345
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHM03917G | Medicaid | CA |
Other names
- CEDAR FAMILY PRACTICE
Other providers in Waterford, CA
- Eric Gust Benson
- Marissa Boire
- Charles C. Kim, D.D.S., Inc.
- Dennis Cook Jr.
- Tatianna Renee Dean
- Erika Dutcher
- Don Michael Endress
- Ravi Gandhi
- Gill Pharmacy Inc
- Kendra Gomez
All providers in Waterford, CA · General Practice Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2008. 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.