Healthcare Provider Details

I. General information

NPI: 1396677092
Provider Name (Legal Business Name): DIG DEEP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 STOCKTON ST STE 500
SAN FRANCISCO CA
94108-5321
US

IV. Provider business mailing address

316 CALIFORNIA AVE
RENO NV
89509-1650
US

V. Phone/Fax

Practice location:
  • Phone: 720-339-7142
  • Fax:
Mailing address:
  • Phone: 720-339-7142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANSON WHITMER
Title or Position: CEO
Credential: PHD
Phone: 720-339-7142