Organization Active NPI

Noel C David MD Inc

  • Primary Care Clinic/Center
  • Manteca, CA
National Provider Identifier
1477736056
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
C51570 Issued in CA
Legal business name
NOEL C DAVID MD INC
Practice address
250 Cherry LN Ste 111
Manteca, CA 95337-4397
Phone
(209) 647-4545
Fax
(209) 707-3147
NPI assigned
Dec 6, 2007
Last updated
Mar 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Authorized official

Name
Dr. Noel C David, MDNPI 1356483887
Title
Ceo
Phone
(209) 647-4545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X C51570 CA Primary

Addresses

Primary practice location

250 Cherry LN Ste 111
Manteca, CA 95337-4397

Mailing address

250 Cherry LN Ste 111
Manteca, CA 95337-4397
Phone (209) 647-4545

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1089792Noel C David, MD, Inc250 Cherry Lane, Suite 111, Manteca, CA 95337Certificate of waiverSep 24, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1477736056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CHERRY LN STE 111",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374397",
            "telephone_number": "209-647-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CHERRY LN STE 111",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374397",
            "telephone_number": "209-647-4545",
            "fax_number": "209-707-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOEL C DAVID MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-647-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "C51570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.