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DR. JESSE G DEFRESE DC
NPI 1578652913
Chiropractor in Davis, CA

Active since October 12, 2006CLIA 05D2091158 · Waiver
423 F STREET, SUITE 109, DAVIS, CA 95616(530) 758-8654(530) 758-8654 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Jesse G Defrese Dc NPPES

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

DR. JESSE G DEFRESE DC (NPI 1578652913) is an individual chiropractor in Davis, California, licensed in California (DC18378) and active in the NPI registry since October 2006. He holds a CLIA Waiver certificate valid through February 5, 2027.

NPPES Registry Identity

NPI1578652913
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JESSE G DEFRESECredential: DC
Location Address423 F STREET, SUITE 109Davis, CA 95616
Mailing AddressPo Box 4659Davis, CA 95617 · (530) 758-8654 · Fax (530) 758-8654
Phone(530) 758-8654
Fax(530) 758-8654
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1578652913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC18378
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
423 F STREET, Davis, CA 95616
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Other Identifiers 2

Medicare ID-Type UnspecifiedDC18378
Medicare UPINT90079

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2091158

Jesse G Defrese Dc · Davis, CA
Active · expires Feb 5, 2027
CLIA Number05D2091158
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorJesse Defrese
Laboratory Phone(530) 758-8654
Laboratory LocationJesse G Defrese Dc423 F St Ste 109, Davis, CA 95616
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CAROL HELAINE LAPERLE MFT
Marriage & Family Therapist
423 F STREET, SUITE 106
DAVIS, CA 95616
Yolo County (530) 341-3228

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 Jesse Defrese's NPI number?

The NPI number for Jesse Defrese is 1578652913. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Jesse Defrese located?

Jesse Defrese practices at 423 F Street Suite 109, Davis, CA 95616. The listed phone number is (530) 758-8654.

What is Jesse Defrese's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Does Jesse Defrese hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2091158) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jesse Defrese was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.