Healthcare Provider Details

I. General information

NPI: 1255383444
Provider Name (Legal Business Name): DAVID DORON DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 NATOMA ST
FOLSOM CA
95630-2615
US

IV. Provider business mailing address

5960 S LAND PARK DR # 156
SACRAMENTO CA
95822-3313
US

V. Phone/Fax

Practice location:
  • Phone: 916-355-8500
  • Fax: 916-335-8196
Mailing address:
  • Phone: 916-333-0487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT32662
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: