Active NPI
David a Chappell MD, Medical Corporation
- Endocrinology, Diabetes & Metabolism Physician
- Petaluma, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- C40326
- Legal business name
- DAVID A CHAPPELL MD, MEDICAL CORPORATION
- Practice address
- 141 Lynch Creek Way
Suite a
Petaluma, CA 94954-2341 - Phone
- (707) 762-0001
- Fax
- (707) 765-0666
- NPI assigned
- Feb 20, 2008
- Last updated
- Feb 20, 2008
- 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. David Chappell, MD
- Title
- Doctor
- Phone
- (707) 762-0001
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | C40326 | CA | Primary |
Addresses
Primary practice location
141 Lynch Creek Way
Suite a
Petaluma, CA 94954-2341
Mailing address
141 Lynch Creek Way
Suite a
Petaluma, CA 94954-2341
Phone (707) 762-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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 |
|---|---|---|---|
| 05D0947611 | David Chappell MD Medical Corporation | Certificate of waiver | Jun 18, 2028 |
National Provider Directory
National Provider DirectoryLocations
141 Lynch Creek Way
Petaluma, CA 94954
Phone (707) 763-0802
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Petaluma, CA
- NPI 1598732463
-
- Registered Dietitian
- Oakland, CA
- NPI 1174684708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203465600000",
"number": "1821267162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 LYNCH CREEK WAY",
"address_2": "SUITE A",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949542341",
"telephone_number": "707-762-0001",
"fax_number": "707-765-0666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 LYNCH CREEK WAY",
"address_2": "SUITE A",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949542341",
"telephone_number": "707-762-0001",
"fax_number": "707-765-0666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID A CHAPPELL MD, MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A",
"authorized_official_last_name": "CHAPPELL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "707-762-0001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "C40326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.