DON MICHAEL ENDRESS (NPI# 1588664684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588664684 |
| Entity Type | Individual |
| Full Name | DON MICHAEL ENDRESS |
| Credential | MD |
| Practice Address |
12700 Welch St Waterford CA 95386-8765 |
| Mailing Address |
2416 Canasta Ct La Grange CA 95329-9633 |
| Practice Telephone | 2098742345 |
| Practice Fax Number | 2098743926 |
| Mailing Telephone | 2098742345 |
| Mailing Fax Number | 2098742345 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2012-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A53357 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | 00A533571 | 01 |
| Street Address |
12700 WELCH ST |
| City | WATERFORD |
| State | CA |
| Zip Code | 95386-8765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649527664 | Eric Gust Benson | Registered Nurse | 12700 Welch St, Waterford, CA 95386-8765 | 2012-08-08 |
| 1326106501 | Don Michael Endress M.d. | General Practice | 12700 Welch St, Waterford, CA 95386-8765 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366857658 | Diana Hollingshead-parker | Registered Nurse | 421 Tim Bell Rd, Waterford, CA 95386 | 2014-06-25 |
| 1497817407 | James Yamamoto | Dentist | 12142 Yosemite Blvd, Waterford, CA 95386 | 2006-12-15 |
| 1356686992 | Kimberlie Ann Payne | Occupational Therapy Assistant | 13209 Fountain Dr, Waterford, CA 95386-8858 | 2012-12-08 |
| 1518423631 | Gill Pharmacy Inc | Pharmacy | 12648 Bentley St, Waterford, CA 95386-9009 | 2019-02-13 |
| 1639709520 | Ravi Gandhi | Pharmacy | 12648 Bentley St, Waterford, CA 95386-9009 | 2020-01-20 |
| 1528433588 | Livingston Community Health | Clinic/Center | 12619 Bentley St, Waterford, CA 95386-9011 | 2015-12-02 |
| 1336176122 | Maximilian A. Schanderl | Pharmacist | 12641 Bentley St, Waterford, CA 95386-9011 | 2006-06-27 |
| 1518992031 | Tower Pharmacy, Inc. | Pharmacy | 12641 Bentley St, Waterford, CA 95386-9011 | 2006-07-12 |
| 1588762538 | Krishnamoorthi Krishnamoorthi | Internal Medicine | 324 F St, Waterford, CA 95386-9013 | 2006-09-20 |
| 1417329640 | Agatha John | Family Medicine | 324 F St, Waterford, CA 95386-9013 | 2015-10-27 |
| Find all providers in zip 95386 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366759573 | Sunrise Geriatric Physicians, Pllc | General Practice | 2507 Woodbourne Dr, Waterford, MI 48329-2475 | 2010-09-09 |
| 1104082148 | Waterford Pediatrics | General Practice | 4185 Highland Rd, Waterford, MI 48328 | 2008-07-30 |
| 1205908100 | Benjamin Leslie Hammack | General Practice | 3788 Old Highway Seven South, Waterford, MS 38685-0098 | 2006-11-15 |
| 1790730497 | Wally S Mahar | General Practice | 7795 Elizabeth Lake Rd, Waterford, MI 48327-3603 | 2006-05-23 |
| 1326106501 | Don Michael Endress M.d. | General Practice | 12700 Welch St, Waterford, CA 95386-8765 | 2006-12-04 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.