Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Richard Deza

Individual provider Contractor · NPI 1306217245

Richard Deza is a Contractor in Rohnert Park, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
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Practice location Address checks out

6095 Country Club Dr
Rohnert Park, CA 94928-2254 Not confirmed with CMS for 10 years — call before visiting
Phone: (415) 948-6552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 0I65079 (CA)

Record details

NPI number1306217245
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 19, 2015
Last updated in NPPESOctober 19, 2015