VIVACITAS MEDICAL GROUP PC


Address: 1383 N Mcdowell Blvd Ste 110, Petaluma, CA 94954-1190
Phone: (707) 766-9852

VIVACITAS MEDICAL GROUP PC (NPI# 1427588417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427588417
Entity Type Organization
Organization Name VIVACITAS MEDICAL GROUP PC
Practice Address 1383 N Mcdowell Blvd Ste 110
Petaluma
CA 94954-1190
Practice Telephone (707) 766-9852
Mailing Telephone 7077669852
Enumeration Date 2017-06-13
Last Update Date 2018-01-02
Authorized Official Name DR. STEPHEN STEADY (OWNER)
Authorized Official Telephone 4153093242
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 1383 N MCDOWELL BLVD STE 110
City PETALUMA
State CA
Zip Code 94954-1190

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1932679511 Karen Christianson Behavior Technician 1670 Corporate Circle Suite 100, Petaluma, CA 94954 2018-11-27
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1821587585 Aost Healthcare Services Internal Medicine 10990 Lower Azusa Rd Ste 4, El Monte, CA 91731-1353 2018-05-08
1396233185 Caroline Petrossian Internal Medicine 1880 Century Park East Suite 711, Century City, CA 90067 2018-04-26
1558868927 Gps Physician Group of California PC Internal Medicine American River Center, 3900 Garfield Ave, Carmichael, CA 95608 2018-04-11
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Competitor

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City PETALUMA
Zip Code 94954

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Dataset Information

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.

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