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

Dr. Jack Kenneth Deitchman, MD

Individual provider Preventive Medicine/Occupational Environmental Medicine Physician · NPI 1346254141

Dr. Jack Kenneth Deitchman, MD is a Preventive Medicine/Occupational Environmental Medicine Physician in Grass Valley, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

140 Litton Dr Ste 110
Grass Valley, CA 95945
Phone: (530) 274-8483
Fax: (530) 271-2067
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preventive Medicine/Occupational Environmental Medicine Physician (primary) Taxonomy 2083P0500X · Licence G26297 (CA)

Record details

NPI number1346254141
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESMarch 5, 2009
Mailing address140 Litton Drive, Suite 110, Grass Valley, CA 95945