GINA M CARAVAGLIA (NPI# 1538147459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538147459 |
| Entity Type | Individual |
| Full Name | GINA M CARAVAGLIA |
| Credential | DO |
| Practice Address |
67580 Jones Rd Cathedral City CA 92234-6401 |
| Mailing Address |
74 Via Minorca Cathedral City CA 92234-1526 |
| Practice Telephone | 7609923473 |
| Practice Fax Number | 7607977337 |
| Mailing Telephone | 7609923473 |
| Mailing Fax Number | 7607977337 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
2OA-8781 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200122600A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 124 E Main St, Hulbert, OK 744418902 | 9187722879 | 9187721233 |
| Street Address |
67580 JONES RD |
| City | CATHEDRAL CITY |
| State | CA |
| Zip Code | 92234-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932214 | Banyan Palm Springs LLC | Substance Abuse Rehabilitation Facility | 67580 Jones Rd, Cathedral City, CA 92234-6401 | 2019-10-07 |
| 1780124206 | Bhs Physician Services of California PC | Internal Medicine | 67580 Jones Rd, Cathedral City, CA 92234-6401 | 2017-03-02 |
| 1760813307 | Bhs Laboratory Services of California LLC | Substance Abuse Rehabilitation Facility | 67580 Jones Rd, Cathedral City, CA 92234-6401 | 2013-12-09 |
| 1780011783 | Behavioral Health Solutions of California, LLC | Substance Abuse Rehabilitation Facility | 67580 Jones Rd, Cathedral City, CA 92234-6401 | 2013-10-04 |
| 1689921470 | Cathedral City Palms, LLC | Substance Abuse Rehabilitation Facility | 67580 Jones Rd, Cathedral City, CA 92234-6401 | 2012-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559661 | Susan Lim | Pharmacist | 68018 Vista Chino, Cathedral City, CA 92234 | 2020-05-08 |
| 1306479936 | Aragon Medical Transport Inc. | Non-emergency Medical Transport (VAN) | 33775 Wishing Well Trl # 92234, Cathedral City, CA 92234 | 2020-02-21 |
| 1770973984 | K C Loo Dds A Dental Corp | Dentist | 68487 E. Palm Canyon Dr Bldg #1, Cathedral City, CA 92234 | 2015-01-26 |
| 1124426614 | Catherine Rodriguez | Counselor | 68100 Ramon Road, Cathedral City, CA 92234 | 2014-12-15 |
| 1760889323 | Serenity Congregate Care | Skilled Nursing Facility | 31730 Avenida Del Padre, Cathedral City, CA 92234 | 2014-11-25 |
| 1043622202 | Ruben Mendez Dds A Professional Corporation | Dentist | 68100 Ramon Rd., A 4, Cathedral City, CA 92234 | 2014-05-22 |
| 1801224670 | Stepping Stones Community Church of The Desert | Voluntary or Charitable | 216 Via Genova, Cathedral City, CA 92234 | 2013-10-14 |
| 1841576337 | Cristina Rene Jester | Case Manager/Care Coordinator | 68425 Perez Road, Suite 11, Cathedral City, CA 92234 | 2011-10-27 |
| 1356649438 | Kimberly Coppage | Case Manager/Care Coordinator | 68-625 Perez Rd, 11-a, Cathedral City, CA 92234 | 2011-03-14 |
| 1376703355 | Michael Day | Chiropractor | 465 Coyote, Cathedral City, CA 92234 | 2008-06-12 |
| Find all providers in zip 92234 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332726 | True North Detox LLC | Family Medicine | 2413 Whitmore Ave, Clovis, CA 93619-9252 | 2020-09-28 |
| 1639717473 | Michael Stone Md Inc | Family Medicine | 1950 E 17th St Ste 101, Santa Ana, CA 92705-6852 | 2019-12-11 |
| 1720624497 | Marina Harbor Detox | Family Medicine | 289 Marina Blvd, San Francisco, CA 94123-1212 | 2019-11-18 |
| 1093363848 | Anthony Martin Ocana | Family Medicine | 13924 Marquesas Way Apt 1520, Marina Del Rey, CA 90292-6018 | 2019-08-26 |
| 1821640137 | L Snyder Incorporated | Family Medicine | 34052 La Plaza #101, Dana Point, CA 92629 | 2019-07-16 |
| 1720645328 | Creative Child and Family Services, Inc. | Family Medicine | 7049 Ohio River Dr, Eastvale, CA 91752 | 2019-05-20 |
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1629550660 | University of California Sfgh Medical Group | Family Medicine | 1001 Potrero Ave Rm 5h22, San Francisco, CA 94110-3518 | 2018-09-06 |
| 1952809592 | Sunrise Health & Wellness Center, LLC | Family Medicine | 10089 Folsom Blvd. Suites A & C, Rancho Cordova, CA 95670-1935 | 2018-01-29 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| Find all providers with the same taxonomy | ||||
| City | CATHEDRAL CITY |
| Zip Code | 92234 |
Please comment or provide details below to improve the information on GINA M CARAVAGLIA.
| 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.