# DON MICHAEL ENDRESS M.D.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** CEDAR FAMILY PRACTICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326106501
- **Authorized official:** DON MICHAEL ENDRESS M.D. (MD)
- **Authorized official phone:** (209) 874-2345

## Contact information

- **Practice address:** 12700 WELCH ST, WATERFORD, CA 95386-8765
- **Practice address phone:** (209) 874-2345
- **Practice address fax:** (209) 874-3926
- **Mailing address:** 2416 CANASTA CT, LA GRANGE, CA 95329-9633
- **Mailing address phone:** (209) 874-2345
- **Mailing address fax:** (209) 874-3926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A53357 | CA | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 06/27/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | RHM03917G | — | CA |