Active NPIIndividual provider

David S Bambilla, DPT

Physical Therapist in San Rafael, California

NPI Number1871372789
Practice location
1099 D St Ste 105, San Rafael, CA 94901-2839
Fax
—
Last updated
April 6, 2026

David Sequino Bambilla is a Physical Therapist based in San Rafael, CA. David Sequino Bambilla practices in San Rafael, CA and has the professional credentials of DPT. The NPI Number for David Sequino Bambilla is 1871372789 and holds a License No. 309768 (CA). The current practice location address for David Sequino Bambilla is 1099 D St Ste 105, San Rafael, CA 94901-2839 and can be reached out via phone at 415-532-8335.

Provider Profile Details

NPI Number
1871372789
Provider Name
David Sequino Bambilla
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
1099 D St Ste 105, San Rafael, CA 94901-2839
Phone Number
415-532-8335
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
September 28, 2023
Last Update Date
April 6, 2026
Certification Date
April 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1099 D St Ste 105
San Rafael, CA 94901-2839
Zip
94901-2839
Phone Number
415-532-8335
San Rafael, CA 94901Get directions →

Provider Business Mailing Address Details

Address
790 Remington Blvd
Bolingbrook, IL 60440-4909
City
Bolingbrook
State
IL
Zip
60440-4909

License Information

License Number (1)
309768
License State (1)
CA
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
PTL28021
License State (2)
MA
Taxonomy (2)
Physical Therapist · 225100000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of David S Bambilla, DPT?

The NPI number of David S Bambilla, DPT is 1871372789. It was assigned on September 28, 2023 and is currently active in the NPPES registry.

What is the specialty of David S Bambilla, DPT?

David S Bambilla, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CA under license number 309768.

Where does David S Bambilla, DPT practice?

The practice location is 1099 D St Ste 105, San Rafael, CA 94901-2839. The office can be reached at 415-532-8335 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871372789 directly on the NPPES registry website.

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