MAYURA RAGHAVAN (NPI# 1487136446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487136446 |
| Entity Type | Individual |
| Full Name | MAYURA RAGHAVAN |
| Practice Address |
221 Marigold St Danville CA 94506-4760 |
| Practice Telephone | 9255960726 |
| Mailing Telephone | 9255960726 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 55761 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4000 Dublin Blvd Ste 100, Dublin, CA 945683122 | 9255567320 |
| Street Address |
221 MARIGOLD ST |
| City | DANVILLE |
| State | CA |
| Zip Code | 94506-4760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680659 | Diane Lindsey Baggett | Registered Nurse | # 155 9000 Crow Canyon, Danville, CA 94506 | 2020-05-12 |
| 1205334364 | Sarika Shah | Dietitian, Registered | 3860 Blackhawk Road, Suite 140, Danville, CA 94506 | 2018-01-24 |
| 1679843783 | John W. Raniseski | Psychologist | 204 Stetson Drive, Danville, CA 94506 | 2012-01-05 |
| 1871728279 | Dana Libby Kapp | Dentist | 4135 Blackhawk Plaza Cir Ste 260, Danville, CA 94506 | 2009-05-28 |
| 1316123383 | Abnet Amsalework Alemu | Surgery | 2350 Country Hills Drive, Antioch, CA 94506 | 2008-01-21 |
| 1922105469 | Selin Khayatan | Optometrist | 2255 Genoa Street, Danville, CA 94506 | 2006-09-19 |
| 1497784169 | Donald I Galen | Obstetrics & Gynecology | 13 Homestead Court, Danville, CA 94506 | 2006-07-03 |
| 1144259870 | Blackhawk Surgery Center, A Medical Corp. | Clinic/Center | 3601 Blackhawk Plaza Circle, Danville, CA 94506 | 2006-07-03 |
| 1629038351 | William Kemerer | Anesthesiology | 3600 Blackhawk Plaza Circle, Danville, CA 94506 | 2006-03-25 |
| 1730730789 | Karen Marcum | Prosthetic/Orthotic Supplier | 4165 Blackhawk Plaza Circle, Private Suite 250, Danville, CA 94506 | 2019-09-21 |
| Find all providers in zip 94506 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747959 | Michelle Turner | Physician Assistant | 1095 N County Road 300 E, Danville, IN 46122-8651 | 2020-07-08 |
| 1427681535 | Ann Humphrey | Physician Assistant | 30 Windward Dr, Danville, CA 94526-2341 | 2020-02-17 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1164086948 | Matthew Hartman | Physician Assistant | 215 Kaitlyn Ln, Danville, CA 94506-4717 | 2019-04-26 |
| 1902370844 | Lindsay Simmons | Physician Assistant | 167 Maddox Rd, Danville, AL 35619-6535 | 2019-01-14 |
| 1174007165 | Caroline Federighi | Physician Assistant | 1320 El Capitan Dr Ste 200, Danville, CA 94526-6260 | 2018-09-17 |
| 1780180406 | Megan Marie Allison | Physician Assistant | 100 Hospital Ln Ste 105, Danville, IN 46122 | 2018-04-02 |
| 1255745709 | Nichole Louise Drilling | Physician Assistant | 1000 E. Main St., Danville, IN 46122 | 2014-06-12 |
| 1154762748 | Justin B Cecil | Physician Assistant | 236 W Main St Ste 202, Danville, KY 40422-1876 | 2013-07-11 |
| 1013354471 | Jesse Gronsky | Physician Assistant | 301 Locust Ln, Danville, PA 17821-8563 | 2013-05-25 |
| Find all providers in DANVILLE | ||||
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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.