DR. MARCO PAVESI (NPI# 1457379554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457379554 |
| Entity Type | Individual |
| Full Name | DR. MARCO PAVESI |
| Credential | M.D. |
| Practice Address |
2557 Mowry Ave Suite 12 Fremont CA 94538-1603 |
| Practice Telephone | 5107933722 |
| Practice Fax Number | 5107938783 |
| Mailing Telephone | 5107933722 |
| Mailing Fax Number | 5107938783 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
C42767 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2557 MOWRY AVE SUITE 12 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447220215 | East Bay Dermatology Medical Group Inc | Dermatology | 2557 Mowry Ave, Ste 34 and Ste 25, Fremont, CA 94538 | 2006-01-25 |
| 1316498421 | Pansmart Inc | Pharmacy | 2557 Mowry Ave, Suite # 11, Fremont, CA 94538-1603 | 2016-10-24 |
| 1629490362 | Olivia Danielle Martinez | Nurse Practitioner | 2557 Mowry Ave, Suite 25, Fremont, CA 94538-1603 | 2014-01-15 |
| 1518251701 | Harman Chawla | Internal Medicine | 2557 Mowry Ave, Suite 12, Fremont, CA 94538-1603 | 2011-06-05 |
| 1730345869 | Kalindi Oza | Audiologist | 2557 Mowry Ave, Suite 30, Fremont, CA 94538-1603 | 2008-07-29 |
| 1265598866 | Iraj Dulabi Zandi | Specialist | 2557 Mowry Ave, Suite 20, Fremont, CA 94538-1603 | 2006-12-28 |
| 1952464943 | Fremont Eat Nose & Throat Med Group Inc | Otolaryngology | 2557 Mowry Ave, #30, Fremont, CA 94538 | 2006-12-19 |
| 1477662039 | Arun Srivatsa | Internal Medicine | 2557 Mowry Ave, Suite 12, Fremont, CA 94538-1603 | 2006-08-29 |
| 1972521060 | Jason Chu | Internal Medicine | 2557 Mowry Ave, Suite 12, Fremont, CA 94538-1603 | 2006-07-17 |
| 1962428896 | Muni Michael Barash | Internal Medicine | 2557 Mowry Ave, Suite 12, Fremont, CA 94538-1603 | 2006-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
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| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841509312 | Spectrum Health Primary Care Partners | Internal Medicine | 230 W Oak St, Fremont, MI 49412-1526 | 2010-10-01 |
| 1588830848 | Michigan Medical Patient Care | Internal Medicine | 230 W Oak St, Fremont, MI 49412-1575 | 2008-05-06 |
| 1306953724 | Ajit Pal Singh Sandhu | Internal Medicine | 680 Mowry Ave, Fremont, CA 94536-4113 | 2006-08-23 |
| 1972521060 | Jason Chu | Internal Medicine | 2557 Mowry Ave, Suite 12, Fremont, CA 94538-1603 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221137 | Newport Superior Medical & Infusion Inc | Internal Medicine | 1501 Superior Ave Ste 111, Newport Beach, CA 92663-3661 | 2020-10-02 |
| 1205472339 | Christian Gronbeck IIi | Internal Medicine | 37 E Mission Ave, San Rafael, CA 94901-4208 | 2019-11-25 |
| 1497304497 | Ralph Zitnik | Internal Medicine | 606 E Valerio St, Santa Barbara, CA 93103-1954 | 2019-09-11 |
| 1578118295 | Adventist Health Physicians Network | Internal Medicine | 1231 W Vine St Ste 19, Lodi, CA 95240-5109 | 2019-08-08 |
| 1063079176 | Kasra Sedarati M.d. Inc. | Internal Medicine | 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 | 2019-05-23 |
| 1124586367 | Coast Concierge Medicine Inc | Internal Medicine | 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 | 2019-03-06 |
| 1801373352 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2018-07-26 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
| 1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
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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.