DAVID BETAT (NPI# 1659387512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659387512 |
| Entity Type | Individual |
| Full Name | DAVID BETAT |
| Credential | M.D. |
| Practice Address |
801 11th St Lakeport CA 95453-4100 |
| Mailing Address |
2255 Cedar Hill Way Lakeport CA 95453-9762 |
| Practice Telephone | 7074133259 |
| Practice Fax Number | 7074133260 |
| Mailing Telephone | 7072621401 |
| Mailing Fax Number | 7072621401 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2015-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G57755 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
801 11TH ST |
| City | LAKEPORT |
| State | CA |
| Zip Code | 95453-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107828 | John Regis Minotti | Internal Medicine | 801 11th St, Lakeport, CA 95453-4100 | 2005-07-13 |
| 1174183784 | Adventist Health Physicians Network | Internal Medicine | 801 11th St, Lakeport, CA 95453-4100 | 2019-06-17 |
| 1871063040 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 801 11th St, Lakeport, CA 95453-4100 | 2018-11-30 |
| 1194254995 | Jaques Ngakam | Physician Assistant | 801 11th St, Lakeport, CA 95453-8107 | 2017-06-06 |
| 1871640060 | Daniel Ayers | Chiropractor | 801 11th St, Lakeport, CA 95453 | 2007-01-03 |
| 1275630196 | Kraivit Angsupanich | Surgery | 801 11th St, Suite 1, Lakeport, CA 95453-4100 | 2006-09-20 |
| 1912957242 | John Patrick Robertson | Internal Medicine | 801 11th St, Lakeport, CA 95453-4100 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526847 | Easter Seals Bay Area | Early Intervention Provider Agency | 1950 Parallel Drive, Lakeport, CA 95453 | 2018-11-03 |
| 1285000810 | Lake County Tribal Health Consortium, Inc. | Clinic/Center | 14678 Lakeshore Boulevard, Clearlake, CA 95453 | 2015-08-18 |
| 1942558721 | Lorena A Watson | Nurse Practitioner | 5108 Hill Road East, Lakeport, CA 95453 | 2012-08-27 |
| 1992024657 | Jennifer Stolworthy Smith | Case Manager/Care Coordinator | 991 Parallel Dr. Ste. B, County of Lake, Mental Health, Lakeport, CA 95453 | 2010-05-20 |
| 1376720664 | June Arisa Masato | Marriage & Family Therapist | 1152 S. Main St, Lakeport, CA 95453 | 2008-01-29 |
| 1245417021 | Robert Ryan Taylor Sr. | Physical Therapist | 1285 S Main Street, Lakeport, CA 95453 | 2008-01-24 |
| 1760669618 | Joan Kammerer | Registered Nurse | 922 Bevins Court, Lakeport, CA 95453 | 2008-01-23 |
| 1881878353 | Mary Theresa Mcmillan | Marriage & Family Therapist | 75 Fourth Street, Lakeport, CA 95453 | 2007-12-19 |
| 1922288984 | Robert William Krause | Family Medicine | 755 Eleventh St, Lakeport, CA 95453 | 2007-11-07 |
| 1568683092 | Dan Sleeth | Marriage & Family Therapist | 991 Parallel Dr., Lakeport, CA 95453 | 2007-05-01 |
| Find all providers in zip 95453 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639330913 | Sutter Medical Group of The Redwoods | Family Medicine | 5150 East Hill Road, Suite D, Lakeport, CA 95453-5101 | 2008-06-19 |
| 1922288984 | Robert William Krause | Family Medicine | 755 Eleventh St, Lakeport, CA 95453 | 2007-11-07 |
| 1538233515 | Peter George Stanley | Family Medicine | 166 D St, Lakeport, CA 95453-5301 | 2006-11-20 |
| 1265431084 | Northern California Medical Assoc Inc | Family Medicine | 5108 Hill Rd E, Lakeport, CA 95453-6300 | 2005-07-14 |
| 1851687602 | Marc Seeley | Family Medicine | 5196 Hill Rd E Ste 300, Lakeport, CA 95453-6374 | 2011-06-21 |
| 1760505630 | Karen Tait | Family Medicine | 991 Parallel Dr Ste B, Lakeport, CA 95453-5717 | 2007-04-07 |
| 1780714584 | Lakeport Medical Group | Family Medicine | 166 D St, Lakeport, CA 95453-5301 | 2007-03-07 |
| 1881607018 | Roseline S Michel | Family Medicine | 925 Bevins Ct, Lakeport, CA 95453-9754 | 2006-08-15 |
| 1881628576 | Daniel C. Bouwmeester | Family Medicine | 5335 Lakeshore Blvd, Lakeport, CA 95453-6123 | 2006-07-10 |
| 1245272004 | Andrew Ira Schwartz | Family Medicine | 5196 Hill Rd E, Suite 300, Lakeport, CA 95453-6360 | 2006-06-13 |
| Find all providers in LAKEPORT | ||||
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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.