Individual provider Active NPI

David Dean Van Zant, PT DPT DCS

  • Physical Therapist
  • Grass Valley, CA
National Provider Identifier
1710088794
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28008 Issued in CA
Practice address
375 Brunswick Rd Suite 102
900 Whispering Pines Lane
Grass Valley, CA 95945
Phone
(530) 272-4284
Fax
(530) 272-2990
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT28008 CA Primary

Addresses

Primary practice location

375 Brunswick Rd Suite 102
900 Whispering Pines Lane
Grass Valley, CA 95945

Mailing address

PO Box 209
Applegate, CA 95703
Phone (530) 878-2741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081015000247 CA Practitioner - Physical Therapist in Private Practice 2769540087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11990 Heritage Oak PL
Suite 8
Auburn, CA 95603-2405
Phone (530) 823-6835

7200 S Land Park Dr
Suite 300
Sacramento, CA 95831-3670
Phone (916) 391-5010

857 Sutton Way
Grass Valley, CA 95945-5178
Phone (530) 272-4284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28008CAMDClinical Psychologist
PT28008CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Burger Physical Therapy Services Inc CurrentSince Sep 1, 2008 Accepting new patients
Chapa-de Indian Health Program, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Burger Physical Therapy and Rehabilitation Agency Inc Past Accepting new patients

Locations

11670 Atwood Rd
Auburn, CA 95603
Phone (530) 887-2800

11990 Heritage Oak Pl
Ste 8
Auburn, CA 95603
Phone (530) 823-6835

1301 E Bidwell St
Ste 201
Folsom, CA 95630

1350 E Main St
Grass Valley, CA 95945
Phone (530) 477-8545

7200 S Land Park Dr
Ste 300
Sacramento, CA 95831
Phone (916) 391-5010

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHIAD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710088794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "APPLEGATE",
            "state": "CA",
            "postal_code": "95703",
            "telephone_number": "530-878-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 BRUNSWICK RD SUITE 102",
            "address_2": "900 WHISPERING PINES LANE",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95945",
            "telephone_number": "530-272-4284",
            "fax_number": "530-272-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ZANT",
        "first_name": "DAVID",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "PT DPT DCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.