Provider Demographics
NPI:1699730374
Name:PADGETT, DAVID K (DO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:K
Last Name:PADGETT
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:913 SAN RAMON VALLEY BLVD
Mailing Address - Street 2:SUITE #182
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-4031
Mailing Address - Country:US
Mailing Address - Phone:925-314-9222
Mailing Address - Fax:925-314-9822
Practice Address - Street 1:913 SAN RAMON VALLEY BLVD
Practice Address - Street 2:SUITE #182
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-4031
Practice Address - Country:US
Practice Address - Phone:925-314-9222
Practice Address - Fax:925-314-9822
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2007-07-16
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Provider Licenses
StateLicense IDTaxonomies
CA20A5134204D00000X, 208100000X, 2081P2900X, 2081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A5134OtherSTATE LICENSE NUMBER
CAE75107Medicare UPIN
CA020A51340Medicare ID - Type Unspecified