MRS. LINDA MAVITY (NPI# 1114167582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114167582 |
| Entity Type | Individual |
| Full Name | MRS. LINDA MAVITY |
| Credential | N.P. |
| Practice Address |
15055 Los Gatos Blvd Suite 250 Los Gatos CA 95032-2083 |
| Mailing Address |
Po Box 698 Los Gatos CA 95031-0698 |
| Practice Telephone | 4083582511 |
| Practice Fax Number | 4083581009 |
| Mailing Telephone | 4083582511 |
| Mailing Fax Number | 4083581009 |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
5684 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15055 LOS GATOS BLVD SUITE 250 |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95032-2083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588722680 | Iris Gin | Dermatology | 15055 Los Gatos Blvd, Suite 100, Los Gatos, CA 95032-2083 | 2006-12-04 |
| 1770964504 | Michelle Gough | Nurse Practitioner | 15055 Los Gatos Blvd, Ste 250, Los Gatos, CA 95032-2083 | 2015-06-17 |
| 1174957765 | Laura Phan, Md, Inc | Clinic/Center | 15055 Los Gatos Blvd, Suite 320, Los Gatos, CA 95032-2083 | 2013-08-30 |
| 1992077192 | Vital Health Institute | Specialist | 15055 Los Gatos Blvd, Suite 250, Los Gatos, CA 95032-2083 | 2012-02-02 |
| 1962638569 | Camilla Flemate | Physician Assistant | 15055 Los Gatos Blvd, Suite 100, Los Gatos, CA 95032-2083 | 2009-06-09 |
| 1538312251 | Tom Sheng Liu | Surgery | 15055 Los Gatos Blvd, Suite 250, Los Gatos, CA 95032-2083 | 2008-10-25 |
| 1215194808 | Jerome H Liu | Plastic Surgery | 15055 Los Gatos Blvd, Suite 250, Los Gatos, CA 95032-2083 | 2008-05-21 |
| 1891993556 | Denise Marie Alberto | Physical Therapist | 15055 Los Gatos Blvd, Suite 205, Los Gatos, CA 95032-2083 | 2007-07-04 |
| 1538366984 | Laura T Phan | Ophthalmology | 15055 Los Gatos Blvd, Suite 320, Los Gatos, CA 95032-2083 | 2007-06-29 |
| 1356483549 | Iris Gin Md and Rodney Gin Md | Dermatology | 15055 Los Gatos Blvd, Suite 100, Los Gatos, CA 95032-2083 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730157 | Stephanie Chui | Optometrist | 15055 Los Gatos Blvd Ste 300, Los Gatos, CA 95032 | 2018-05-16 |
| 1710474960 | Lisa Richardson | Dietitian, Registered | 15405 Los Gatos Blvd #101, Los Gatos, CA 95032 | 2018-04-13 |
| 1235652934 | Nillofar Tabibi | Pharmacist | 1496 Pollard Road, Los Gatos, CA 95032 | 2017-07-25 |
| 1609397694 | Taylor Dolores Peterson | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste 5, Los Gatos, CA 95032 | 2017-06-29 |
| 1942755418 | Michelle Sunalp | Physician Assistant | 14830 Los Gatos Blvd, Suite 300, Los Gatos, CA 95032 | 2016-08-24 |
| 1295196640 | Mandice Williams | Chiropractor | 236 Oak Meadow Dr, Los Gatos, CA 95032 | 2016-03-14 |
| 1922465020 | Los Gatos Dental Specialists | Dentist | 15075 Los Gatos Blvd, Ste 120, Los Gatos, CA 95032 | 2016-01-20 |
| 1962881813 | Los Gatos Snf, LLC | Skilled Nursing Facility | 16605 Lark Ave., Los Gatos, CA 95032 | 2015-05-26 |
| 1720404312 | Jonathan Davies | Physician Assistant | 15466 Los Gatos Blvd Ste 109-353, Los Gatos, CA 95032 | 2014-03-06 |
| 1588002612 | Jessica Velasco Gutierrez | Licensed Vocational Nurse | 634 W Parr Ave #116, Los Gatos, CA 95032 | 2013-06-11 |
| Find all providers in zip 95032 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548819964 | Myra Sepulveda | Nurse Practitioner | 1700 Lombard St Ste 110, Oxnard, CA 93030-8288 | 2019-09-09 |
| 1639641699 | Zahra Jeylani Nur | Nurse Practitioner | 15101 Spectrum, Irvine, CA 92618-3426 | 2018-12-31 |
| 1518486125 | Patty Montoya | Nurse Practitioner | 1026 Felder St, Gardena, CA 90248-3348 | 2017-09-14 |
| 1902357817 | Alexandria Ludlow | Nurse Practitioner | 350 John Muir Pkwy Ste 205, Brentwood, CA 94513-5193 | 2016-10-17 |
| 1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
| 1174999015 | Kristina Hagopian | Nurse Practitioner | 8920 Wilshire Blvd Ste 525, Beverly Hills, CA 90211-1968 | 2015-08-14 |
| 1639553076 | Pacific Women's Healthcare Associates | Nurse Practitioner | 500 Superior Ave Ste 310, Newport Beach, CA 92663-3609 | 2015-07-15 |
| 1548655921 | Trudi J Petersen | Nurse Practitioner | 1700 Shattuck Ave # 75, Berkeley, CA 94709-3402 | 2015-04-01 |
| 1932590775 | Samah Shahzya Kureshi | Nurse Practitioner | 2619 Vanderbilt Ln Unit B, Redondo Beach, CA 90278-3318 | 2015-02-16 |
| 1346645801 | Norma Nix | Nurse Practitioner | 22423 Chase St, West Hills, CA 91304-3321 | 2014-10-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.