IndividualActive
Jack Deitchman, MD
NPI 1346254141 · Preventive Medicine/Occupational Environmental Medicine Physician · Grass Valley, CA
Provider details
- NPI number
- 1346254141
- Entity type
- Individual
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G26297 (CA)
Specialties & taxonomies
- Preventive Medicine/Occupational Environmental Medicine PhysicianPrimary2083P0500XLicense G26297 (CA)
Allopathic & Osteopathic Physicians
Practice location
140 Litton Drive
Suite 110
Grass Valley, CA 95945
Phone: (530) 274-8483
Fax: (530) 271-2067
Approximate (ZIP-level) locationGet directions
Mailing address
140 Litton Drive
Grass Valley, CA 95945
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2009-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.