Provider Demographics
NPI:1801863766
Name:MEYER, DELBERT HENRY (MD)
Entity Type:Individual
Prefix:
First Name:DELBERT
Middle Name:HENRY
Last Name:MEYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6945 FAIR OAKS BLVD
Mailing Address - Street 2:SUITE A-2
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-3302
Mailing Address - Country:US
Mailing Address - Phone:916-488-5864
Mailing Address - Fax:916-488-5880
Practice Address - Street 1:6945 FAIR OAKS BLVD
Practice Address - Street 2:SUITE A-2
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-3302
Practice Address - Country:US
Practice Address - Phone:916-488-5864
Practice Address - Fax:916-488-5880
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC28603207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C286030Medicaid
CA00C286030Medicaid
CAA33692Medicare UPIN
CA00C286030Medicaid