Individual provider Active NPI

David Wichman, MPSS, CRS

  • Peer Specialist
  • Cathedral City, CA
National Provider Identifier
1326905589
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
CSKNFZ Issued in CA
Practice address
68445 Terrace Rd
Cathedral City, CA 92234-2136
Phone
(415) 724-5954
NPI assigned
Jan 8, 2026
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CSKNFZ CA Primary

Addresses

Primary practice location

68445 Terrace Rd
Cathedral City, CA 92234-2136

Mailing address

68445 Terrace Rd
Cathedral City, CA 92234-2136
Phone (415) 724-5954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSKNFZCAMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1326905589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68445 TERRACE RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922342136",
            "telephone_number": "415-724-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68445 TERRACE RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922342136",
            "telephone_number": "415-724-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHMAN",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MPSS, CRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "CSKNFZ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cathedral City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.