Provider Demographics
NPI:1134261829
Name:CHESHIRE, DAVID WINSTON (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WINSTON
Last Name:CHESHIRE
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 1:17232 RED HILL AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5628
Mailing Address - Country:US
Mailing Address - Phone:949-752-1111
Mailing Address - Fax:
Practice Address - Street 1:18582 BEACH BLVD STE 23A
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-2012
Practice Address - Country:US
Practice Address - Phone:714-964-4448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG47665207Q00000X, 2083P0500X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW8237OtherMEDICARE GROUP PROVIDER NUMBER
CAW8237OtherMEDICARE GROUP PROVIDER NUMBER