David Edward Engelhardt, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G63529 Issued in CA

Practice address

631 N 13TH Ave
Ste B
Upland, CA 91786-4964

Phone

(909) 931-3838

Fax

(909) 931-3349

NPI assigned

Aug 15, 2005

Last updated

Jan 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

• David E Engelhardt MD Inc

  • Clinic/Center
  • Upland, CA
  • NPI 1295971778
  Authorized official Same address or phone

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1972595122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 N 13TH AVE",
            "address_2": "STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864964",
            "telephone_number": "909-931-3838",
            "fax_number": "909-931-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 N 13TH AVE",
            "address_2": "STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864964",
            "telephone_number": "909-931-3838",
            "fax_number": "909-931-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELHARDT",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G63529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerald Gardens Hospice, Inc. (Butterfly Hospice)
• Emerge Industries LLC (Empire Medical Transport)
• Eminence Health Management Inc.
• Empire Foot and Ankle Center Inc.
• Empower Dental Upland Downtown Inc-Arkelakyan Dental Group Inc
• Stephanie Enriquez
• Irene Kae Enzensperger, MD
• Equinox Home Health
• Victoria King Erb, CCC-SLP
• Eric C Chiang DDS

• Internal Medicine Physician in Upland, CA
• Providers in Upland, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.