Daryl R Dutter MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G57233 Issued in CA

Legal business name

DARYL R DUTTER MD INC

Practice address

521 N Wilma Ave Ste a
Ripon, CA 95366-9503

Phone

(209) 599-4211

Fax

(209) 599-7348

NPI assigned

Jun 8, 2010

Last updated

Jan 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daryl R Dutter, MDNPI 1578568366

Title

President

Phone

(209) 599-4211

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Daryl Ray Dutter, M.D.

  • Family Medicine Physician
  • Ripon, CA
  • NPI 1578568366
  Authorized official Same address or phone

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1992025332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210",
            "city": "RIPON",
            "state": "CA",
            "postal_code": "953660210",
            "telephone_number": "209-599-4211",
            "fax_number": "209-599-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N WILMA AVE STE A",
            "city": "RIPON",
            "state": "CA",
            "postal_code": "953669503",
            "telephone_number": "209-599-4211",
            "fax_number": "209-599-7348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Vera Ave",
            "address_purpose": "LOCATION",
            "city": "Ripon",
            "state": "CA",
            "postal_code": "953662343",
            "country_code": "US",
            "telephone_number": "209-599-4211 x19",
            "fax_number": "209-599-4341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DARYL R DUTTER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "DUTTER",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-599-4211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G57233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G572330",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080009801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas Crum, D.D.S.
• Richard L Crum, DDS
• Erin Colleen Dale, LCSW
• James Jeffrey Daley, M.D.
• Darwin Van Wyngarden a Professional Chiropractic Corporation (Almond Valley Chiropractic)
• Daisy Diaz, PTA
• Meng-Ju Du
• Deanna Duncan
• Daryl Ray Dutter, M.D.
• John Ebster, PHYSICAL THERAPY

• Family Medicine Physician in Ripon, CA
• Providers in Ripon, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.