Individual provider · Type 1 NPI

Priyanka Das, NURSE PRACTITIONER

General Practice Physician · Fairfield, CA

NPI number 1013620939 Active

Practice location

500 Union Ave
Fairfield, CA 94533-6317

Call (707) 784-7130 Map

Mailing address

4704 Branding Iron Dr
Fairfield, CA 94534-7468

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Preventive Medicine) Physician 2083A0300X95024376 (CA)
Family Medicine Physician 207Q00000X95024376 (CA)
General Practice Physician Primary 208D00000X95024376 (CA)
Adult Medicine Physician 207QA0505X95024376 (CA)
Addiction Medicine (Family Medicine) Physician 207QA0401X95024376 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

10 other providers at this address

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About NPI 1013620939

Priyanka Das, NURSE PRACTITIONER's National Provider Identifier is 1013620939, issued on Jan 5, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fairfield, CA. The record was last updated on Sep 30, 2026.