Provider Demographics
NPI:1053514109
Name:BROWN, DANESSA (MD)
Entity type:Individual
Prefix:DR
First Name:DANESSA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:636-916-7590
Mailing Address - Fax:636-916-7593
Practice Address - Street 1:1595 SOQUEL DR
Practice Address - Street 2:SUITE 411
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95065-1719
Practice Address - Country:US
Practice Address - Phone:831-475-8824
Practice Address - Fax:831-475-0531
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA130758207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine