MR. ALEXANDROS JOHN PAVLIDES


Address: 6204 Oak Ave, Angelus Oaks, CA 92305
Phone: 9093897256

MR. ALEXANDROS JOHN PAVLIDES (NPI# 1497103485) 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) 1497103485
Entity Type Individual
Full Name MR. ALEXANDROS JOHN PAVLIDES
Other Name ALEXANDROS JOHN PAVLIDES
Practice Address 6204 Oak Ave
Angelus Oaks
CA 92305
Mailing Address Po Box 235
Angelus Oaks
CA 92305-0235
Practice Telephone 9093897256
Mailing Telephone 9093897256
Enumeration Date 2016-05-31
Last Update Date 2016-12-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6204 OAK AVE
City ANGELUS OAKS
State CA
Zip Code 92305

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730627050 Integrated Elder Care Inc. Lodging 5850 Manzanita Ave., Angelus Oaks, CA 92305 2017-02-07
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1255528550 Kathy Jaffe Social Worker 6002 Lake Drive, Angelus Oaks, CA 92305-9230 2007-10-01

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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Competitor

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City ANGELUS OAKS
Zip Code 92305

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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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