Active NPI
David Jon Colliflower, P.A.-C
- Surgical Physician Assistant
- Wenatchee, WA
National Provider Identifier
1891900346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 15993
- Practice address
- 820 N Chelan Ave
Wenatchee, WA 98801-2028 - Phone
- (509) 663-8711
- NPI assigned
- May 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 15993 | CA | Primary |
| Surgical Physician Assistant | 363AS0400X | PA60693871 | WA |
Addresses
Primary practice location
820 N Chelan Ave
Wenatchee, WA 98801-2028
Mailing address
5300 Trabuco Rd Apt 636
Irvine, CA 92620-5799
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891900346 | Medicaid | WA | |
| P01743785 | Other | WA | RR MEDICARE WVH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Specialists of Newport Beach | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients |
Interoperability endpoints
- dcolliflower298052@direct-ucsfmedicalcenter.org
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Newport Beach, CA
- NPI 1407053242
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2001 The Embarcadero
Suite 1500
San Francisco, CA 94143-5200
Hospital & facility affiliations
- Sonoma Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.03 of 100
- Quality
- 80.86
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 75.91
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1891900346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 TRABUCO RD APT 636",
"city": "IRVINE",
"state": "CA",
"postal_code": "926205799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 N CHELAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012028",
"telephone_number": "509-663-8711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIFLOWER",
"first_name": "DAVID",
"middle_name": "JON",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "15993",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA60693871",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891900346",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE WVH",
"identifier": "P01743785",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.