DWIGHT A DAVID (MD) – General Practice Physician, NPI 1487653531

DWIGHT A DAVID (MD) is a healthcare provider. based in Whittier, California. specializing in General Practice Physician. They hold the professional credentials MD. They hold a License No. A40764 (CA). The NPI Number for DWIGHT A DAVID (MD) is 1487653531

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DWIGHT A DAVID (MD)
NPI
1487653531
Phone
(562) 945-6440
Address
15111 WHITTIER BLVD
Enumeration Date
20 July 2005
Last Update Date
7 December 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5629456440
Graduation Year
1977 (49 years ago)
PAC ID
4880853654
Group Practice PAC ID
2264468883
Professional Enrollment ID
I20120314000440
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DWIGHT A DAVID (MD)

  • 15111, Whittier Boulevard, Friendly Hills, Whittier, Los Angeles County, California, 90603, United States

    STE 102

    WHITTIER, CA 906032136

    Phone: (562) 945-6440

    Fax: (562) 945-9121

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120314000440IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90603)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264468883View full group profile

Reviews

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Frequently asked questions

Can I verify DWIGHT A DAVID (MD) with an NPI only?
You can start verification with NPI 1487653531 for DWIGHT A DAVID (MD), then check state licensing separately.
Does CMS list DWIGHT A DAVID (MD) as active?
Yes — DWIGHT A DAVID (MD) is active in the NPI listing used on this page.
What is DWIGHT A DAVID (MD)'s primary classification?
General Practice Physician is the headline specialty for DWIGHT A DAVID (MD) here. Clinical services aligned with this taxonomy classification.
Does DWIGHT A DAVID (MD) list a practice location?
Patients near Whittier, California may find DWIGHT A DAVID (MD) in results; validate coverage separately.
Why does DWIGHT A DAVID (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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