David a Edelsohn MD Inc a Professional Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A037480 Issued in CA

Legal business name

DAVID A EDELSOHN MD INC A PROFESSIONAL CORPORATION

Practice address

2160 West Grantline Road
Tracy Surgery Center Suite 120
Tracy, CA 95377-7330

Phone

(209) 836-5680

Fax

(209) 836-5778

NPI assigned

Jan 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. David A Edelsohn, M.D.

Title

President

Phone

(510) 604-6136

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline I Decayette, M.D.

  • Anesthesiology Physician
  • Modesto, CA
  • NPI 1942279914
  NPD (past)
• Kevin Eugene Fridie, M.D.

  • Anesthesiology Physician
  • San Ramon, CA
  • NPI 1134109119
  NPD (past)
• Craig A. Nielsen, MD

  • Anesthesiology Physician
  • Alameda, CA
  • NPI 1205861531
  NPD (past)

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394323200000",
    "number": "1427294842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1010",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 WEST GRANTLINE ROAD",
            "address_2": "TRACY SURGERY CENTER SUITE 120",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777330",
            "telephone_number": "209-836-5680",
            "fax_number": "209-836-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A EDELSOHN MD INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2014-03-09",
        "status": "A",
        "authorized_official_last_name": "EDELSOHN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-604-6136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A037480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepthy Damien, M.D.
• Ngoc Son Dang, PHARMD
• Kayla M Darosa
• Sravya Dasyam
• Danielle Claire Datu
• Deven Davis
• Isabel Davis
• Paula E. Davis, PA-C
• Renee Christine Davis
• Madeline Cortez De Dios, PTA

• Anesthesiology Physician in Tracy, CA
• Providers in Tracy, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2014; 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.