Healthcare Provider Details

I. General information

NPI: 1215897251
Provider Name (Legal Business Name): DESIREE SINGSON OBRERO PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3421 VILLA LN STE 1A
NAPA CA
94558-3060
US

IV. Provider business mailing address

1034 DONALDSON WAY
AMERICAN CANYON CA
94503-1087
US

V. Phone/Fax

Practice location:
  • Phone: 707-252-4411
  • Fax: 707-257-4188
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number17664
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: