Active NPI
David Guenette
- Physical Therapist
- Santa Rosa, CA
National Provider Identifier
1528613296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32644
- Practice address
- 300 Fountaingrove Pkwy
Santa Rosa, CA 95403-5720 - Phone
- (707) 566-8600
- NPI assigned
- Aug 8, 2019
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | 32644 | CA | Primary |
Addresses
Primary practice location
300 Fountaingrove Pkwy
Santa Rosa, CA 95403-5720
Mailing address
517 Yulupa Ave
Santa Rosa, CA 95405-5107
Phone (415) 793-6669
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ArbolResidences | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 32644 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1528613296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 YULUPA AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954055107",
"telephone_number": "415-793-6669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 FOUNTAINGROVE PKWY",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954035720",
"telephone_number": "707-566-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUENETTE",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-08",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "32644",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ArbolResidences",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "300 Fountaingrove Pkwy",
"city": "Santa Rosa",
"state": "CA",
"country_code": "US",
"postal_code": "954035720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.