Provider Demographics
NPI:1932305364
Name:PLACER MEDICAL MGMT INC
Entity Type:Organization
Organization Name:PLACER MEDICAL MGMT INC
Other - Org Name:DAVID V FOSTER MD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MEDICAL ADVISOR DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:V
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-885-5177
Mailing Address - Street 1:1111 HIGH STREET
Mailing Address - Street 2:STE A PMM INC
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603
Mailing Address - Country:US
Mailing Address - Phone:530-885-5177
Mailing Address - Fax:530-885-8416
Practice Address - Street 1:1111 HIGH STREET
Practice Address - Street 2:STE A PMM INC
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603
Practice Address - Country:US
Practice Address - Phone:530-885-5177
Practice Address - Fax:530-885-8416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG275852084N0400X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty