Provider Demographics
NPI:1043183726
Name:DUNKINSON, CHASE DAVID, MICHAEL
Entity type:Individual
Prefix:
First Name:CHASE
Middle Name:DAVID, MICHAEL
Last Name:DUNKINSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1084 MULLINGER LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-3227
Mailing Address - Country:US
Mailing Address - Phone:916-884-1914
Mailing Address - Fax:
Practice Address - Street 1:1200 ATHENS AVE
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-9328
Practice Address - Country:US
Practice Address - Phone:916-408-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-27
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE202828146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic