Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1417163478 Deactivated / Inactive NPI Male Practitioner

Dr. David A Sisler , MD

General Practice • Petaluma, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Sisler has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 15, 2007
NPI Deactivation Date June 18, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. David Sisler, MD was a registered General Practice practicing in Petaluma, CA. Throughout an active medical career spanning 11 years, Dr. Sisler provided care at the practice location at 24 W EL ROSE DR until profile deactivation on 2018-06-18.

Practice Location & Contact Primary Location

Practice Address

24 W El Rose Dr

Petaluma, CA 949524023

Telephone 7077639891
Fax 7077639896
Associated Practice Facility / Clinic
🏢 St Jude Hospital Yorba Linda Facility NPI 1780980169

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Petaluma, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Petaluma, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA C17753

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Rajina Ranadive , MD

Internal Medicine

NPI 1447200480

Doctor of Medicine (M.D.)

Dr. Paul Umino , MD

Family Medicine

NPI 1467668335

Doctor of Medicine (M.D.)

Eleanor Mclaughlin , FNP

Nurse Practitioner - Family

NPI 1548479181

Family Nurse Practitioner

NPI 1699928077

Doctor of Osteopathic Medicine (D.O.)

Kathryn Bryant

Nurse Practitioner

NPI 1811397177

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 18, 2018

Record deactivated on June 18, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 24 W EL ROSE DR, PETALUMA, CA 949524023 (Tel: 7077639891)

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Updated Business Mailing Address July 08, 2007

Registered at 24 W EL ROSE DR, PETALUMA, CA 949524023 (Tel: 7077639891)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID SISLER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #C17753 in CA)

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Initial NPI Registration & Enumeration May 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417163478
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2007
Last Update: July 08, 2007
Deactivation Date: June 18, 2018

Mailing Address

24 W El Rose Dr

Petaluma, CA 949524023

Phone: 7077639891

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.