DR. JACK KENNETH DEITCHMAN MD
NPI 1346254141
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Grass Valley, CA

Q: What is Jack Deitchman's NPI number?

The NPI number for Jack Deitchman is 1346254141. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Jack Deitchman's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Q: When was this NPI record last updated?

The NPPES record for Jack Deitchman was last updated on March 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 28, 2006

140 LITTON DRIVE, SUITE 110, GRASS VALLEY, CA 95945(530) 274-8483(530) 271-2067 Get Directions Write a Review

NPPES record last updated: March 5, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jack Kenneth Deitchman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK KENNETH DEITCHMAN MD (NPI 1346254141) is an individual preventive medicine/occupational environmental medicine provider in Grass Valley, California, licensed in California (G26297) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1346254141

Entity TypeIndividualMale

Primary Taxonomy2083P0500X

Provider Legal NameDR. JACK KENNETH DEITCHMANCredential: MD

Location Address140 LITTON DRIVE, SUITE 110Grass Valley, CA 95945

Mailing Address140 Litton Drive, Suite 110Grass Valley, CA 95945 · (530) 274-8483 · Fax (530) 271-2067

Phone(530) 274-8483

Fax(530) 271-2067

Sole ProprietorNo

Enumeration DateJuly 28, 2006

Last NPPES UpdateMarch 5, 2009

✔ NPI 1346254141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0500X

License✔ Licensed in CA · G26297

Definition

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

140 LITTON DRIVE, Grass Valley, CA 95945

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Deitchman's NPI number?

The NPI number for Jack Deitchman is 1346254141. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Jack Deitchman located?

Jack Deitchman practices at 140 Litton Drive Suite 110, Grass Valley, CA 95945. The listed phone number is (530) 274-8483.

What is Jack Deitchman's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for Jack Deitchman was last updated on March 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.