Active NPI
David Eric Rauch, P.T.A.
- Physical Therapy Assistant
- Lakeport, CA
National Provider Identifier
1518218312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8712
- Practice address
- 1291 Craig Ave
Lakeport, CA 95453-5704 - Phone
- (707) 263-6382
- NPI assigned
- Sep 20, 2012
- Last updated
- Sep 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 8712 | OR | Primary |
Addresses
Primary practice location
1291 Craig Ave
Lakeport, CA 95453-5704
Mailing address
1005 Virginia Ave
West Sacramento, CA 95691-3324
Phone (360) 296-4076
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8712 | OR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348099200000",
"number": "1518218312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 VIRGINIA AVE",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "956913324",
"telephone_number": "360-296-4076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1291 CRAIG AVE",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954535704",
"telephone_number": "707-263-6382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUCH",
"first_name": "DAVID",
"middle_name": "ERIC",
"credential": "P.T.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-20",
"last_updated": "2012-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "8712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeport, CA
- Praxis Infectious Diseases
- Preferred Dermatology Physician Assistant Corporation (Hadfield Dermatology, A Physician Assistant Corporation)
- Progressive Anesthesia Consultants of California
- Marlene Quilala, MD
- Gabriela Patricia Quintero Contreras
- Vivek V Reddy, M.D.
- Redwood Community Services, Inc
- Redwood Community Services, Inc.
- Redwood Community Services, Inc.
- Redwood Community Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.