Active NPI
Noel C David MD Inc
- Primary Care Clinic/Center
- Manteca, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- C51570
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Noel C David, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1089792 | Noel C David, MD, Inc | Certificate of waiver | Sep 24, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Manteca, CA
- NPI 1356483887
-
- Pediatrics Physician
- Manteca, CA
- NPI 1184683302
-
- Adult Medicine Physician
- Manteca, CA
- NPI 1710946934
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.