DR. JOHN LEE DEFFENBAUGH (NPI# 1588846596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588846596 |
| Entity Type | Individual |
| Full Name | DR. JOHN LEE DEFFENBAUGH |
| Credential | D.D.S. |
| Practice Address |
2100 Peabody Rd. Vacaville CA 95696-4000 |
| Mailing Address |
Po Box 4000 Vacaville CA 95696-4000 |
| Practice Telephone | 7074510182 |
| Mailing Telephone | 7074510182 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 25505 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508383514 | John Deffenbaugh | Pharmacist | 9007 N Indian Trail Rd, Spokane, WA 99208-9116 | 2017-08-30 |
| Street Address |
2100 PEABODY RD. |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95696-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053439547 | Richard M Tan | Internal Medicine | 2100 Peabody Rd., Vacaville, CA 95696-4000 | 2007-03-26 |
| 1619151925 | Jae E. Park-lin | Dentist | 2100 Peabody Rd., Vacaville, CA 95687 | 2007-12-21 |
| 1356523179 | Frank Zhang | Dentist | 2100 Peabody Rd., Dental Dept., Vacaville, CA 95696-4000 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778673 | Deepak Mehta | Internal Medicine | C/o Medical Staff Office, Cmf, Vacaville, CA 95696 | 2020-10-21 |
| 1780838755 | Susanne Gallo | Psychologist | 1600 Californa Dr., Vacaville, CA 95696 | 2008-11-04 |
| 1265415012 | Asha Mahendra Gandhi | Psychiatry & Neurology | 1600 California Drive, Dept. of Mental Health, Dept. of Corrections, Vacaville, CA 95696 | 2005-11-25 |
| 1619502432 | Corrections and Rehabilitation | Pharmacy | 1600 California Drive, Vacaville, CA 95696 | 2020-03-12 |
| 1164960910 | Levon Vang | Pharmacist | 1600 California Dr, Vacaville, CA 95696 | 2017-02-01 |
| 1407393671 | Albert Vasquez | Social Worker | 1600 California Drive, Vacaville, CA 95696 | 2017-01-26 |
| 1477900645 | Christopher Padalinski | Psychologist | 1600 California Drive, Vacaville, CA 95696 | 2016-05-18 |
| 1790132264 | Samantha Lynn Meyer | Counselor | 1600 California Dr, Vacaville, CA 95696 | 2016-05-15 |
| 1194126938 | Lesley Sohyun Tiffany-brown | Social Worker | 1600 California Dr., Vacaville, CA 95696 | 2014-09-11 |
| 1326454828 | Michael Jay Ryan | Psychologist | 1600 California Drive, Vacaville, CA 95696 | 2014-07-03 |
| Find all providers in zip 95696 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447773650 | Kathleen Dailey Wright | Dentist | 196 Nut Tree Pkwy Ste A, Vacaville, CA 95687-3237 | 2017-07-19 |
| 1730631086 | North Valley Dental | Dentist | 770 Mason St Ste 110, Vacaville, CA 95688-4648 | 2016-11-02 |
| 1073976361 | Usha Mantena Dental Corporation | Dentist | 671 Elmira Rd Ste 130, Vacaville, CA 95687-4655 | 2016-04-04 |
| 1558726240 | Arvin Mehta | Dentist | 1980 Alamo Dr Ste A, Vacaville, CA 95687-6110 | 2015-12-22 |
| 1609207794 | Victoria Farr | Dentist | 1350 Burton Dr Ste 230, Vacaville, CA 95687-3542 | 2013-11-27 |
| 1063795540 | Arvin T. Mehta, Dds, Inc. | Dentist | 1980 Alamo Dr # A, Vacaville, CA 95687-6110 | 2011-09-21 |
| 1487957494 | Moheb Dmd Inc | Dentist | 2501 Nut Tree Rd, Vacaville, CA 95687 | 2010-12-13 |
| 1982878179 | Robert A Hekking Inc | Dentist | 532 W Monte Vista Ave, Vacaville, CA 95688-3620 | 2008-04-17 |
| 1336347301 | Craig Eric Carlson | Dentist | 344 Cernon St, Vacaville, CA 95688 | 2007-07-11 |
| 1285846949 | Ranilo Lising Tuazon | Dentist | 2010c Harbison Dr, Vacaville, CA 95687-3900 | 2007-05-04 |
| Find all providers in VACAVILLE | ||||
Please comment or provide details below to improve the information on DR. JOHN LEE DEFFENBAUGH.
| 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.