MEDICARE: DR. DAVID ERIC COLLINS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	G68739	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	G68739	OTHER	CA	STATE MEDICAL LICENSE

General Provider Information

NPI Number	:	1982691705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ERIC COLLINS MD

Provider Business Mailing Address
First Line	:	2350 W EL CAMINO REAL FL 2
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-6203
Country	:	US
Telephone Number	:	510-504-8140
Fax Number	:	510-506-7721

Provider Business Practice Location Address
First Line	:	5401 NORRIS CANYON RD
Second Line	:	SUITE 306
City	:	SAN RAMON
State	:	CA
Zip	:	94583-5409
Country	:	US
Telephone Number	:	925-277-0101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	05/10/2019

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