DR. GAVIN ROACH (NPI# 1669634218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669634218 |
| Entity Type | Individual |
| Full Name | DR. GAVIN ROACH |
| Practice Address |
14445 Olive View Dr Sylmar CA 91342 |
| Mailing Address |
5767 W Century Blvd Suite 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 8183643233 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2015-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A111923 | CA | Allopathic & Osteopathic Physicians |
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
A111923 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
14445 OLIVE VIEW DR |
| City | SYLMAR |
| State | CA |
| Zip Code | 91342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598758864 | Miguel Angel Valdes-sueiras | Psychiatry & Neurology | 14445 Olive View Dr, #2c-136, Sylmar, CA 91342-1437 | 2005-08-23 |
| 1568075505 | Dexter Alejandro De Vera | Registered Nurse | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-08-28 |
| 1790396968 | County of Los Angeles | General Acute Care Hospital | 14445 Olive View Dr, Clinic A Exam Room 1-11, Sylmar, CA 91342-1438 | 2020-08-12 |
| 1982225405 | Sandy Peoples | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-05-06 |
| 1255952503 | Samir Shah | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-28 |
| 1407476864 | Jennifer Vanessa Mogi | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-25 |
| 1376163717 | Mia Kunitomo | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-24 |
| 1215557830 | Jonathan Mason Allen | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-23 |
| 1568081966 | Erfan Zarrinkhoo | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1438 | 2020-04-15 |
| 1407475759 | Karen My Ly | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| 1528520988 | Yeun Lim | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 | 2019-04-04 |
| 1467914317 | Sevak Hovagimyan | Pharmacist | 13677 Foothill Blvd #b, Sylmar, CA 91342 | 2019-04-01 |
| 1619455086 | Cameda Trichele Dickerson | Counselor | Phoenix House 116600 Eldridge, Lake View Terrace, CA 91342 | 2018-07-30 |
| 1407349624 | Joseph Sungkon Choi | Acupuncturist | 10274 Foothill Blvd, Sylmar, CA 91342 | 2018-06-12 |
| 1780194522 | Joe Anthony Cardenas | Specialist/Technologist | 15450 Roxford Street, Sylmar, CA 91342 | 2017-10-06 |
| 1336668466 | Juan Hernandez | Chiropractor | 13950 Foothill Blvd Apt 108, Sylmar, CA 91342 | 2017-09-09 |
| 1891213492 | Richard Ignacio Martinez | Nurse Practitioner | 14987 Oro Grande St., Sylmar, CA 91342 | 2017-09-03 |
| 1104349497 | Vanessa Gamboa | Social Worker | 13145 Bromont Ave., 14, Sylmar, CA 91342 | 2017-07-19 |
| 1982138368 | Christina Guest | Psychiatry & Neurology | Olive View Medical Center, 14445 Olive View Drive, Sylmar, CA 91342 | 2017-04-12 |
| Find all providers in zip 91342 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932466570 | Stacy Jessica Barron | Pediatrics | 14445 Olive View Dr # S, Sylmar, CA 91342-1437 | 2012-04-20 |
| 1962689612 | Shivangi A. Bhatt | Pediatrics | 14445 Olive View Drive, Room 3a108, Sylmar, CA 91342 | 2008-01-24 |
| 1649655069 | Arun Patel | Pediatrics | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2015-07-27 |
| 1396130183 | David L Richards | Pediatrics | 14445 Olive View Dr # S, Sylmar, CA 91342-1438 | 2015-03-30 |
| 1699032540 | Bahareh Gordon | Pediatrics | 14445 Olive View Drive, Cottage S, Sylmar, CA 91342 | 2012-04-17 |
| 1154611341 | Joseph Rojas | Pediatrics | 14445 Olive View Dr, Department of Pediatrics, Sylmar, CA 91342-1437 | 2011-04-09 |
| 1881856433 | Helen Phan Pizzo | Pediatrics | 14445 Olive View Drive, Sylmar, CA 91342 | 2008-06-25 |
| 1649430364 | Lisa Michele Arcilla | Pediatrics | 14445 Olive View Drive, Sylmar, CA 91342 | 2008-06-16 |
| 1114187697 | Lam L Nguyen | Pediatrics | 14445 Olive View Drive, Sylmar, CA 91342 | 2008-06-10 |
| 1861651945 | Alan E. Holtzman | Pediatrics | 14445 Olive View Drive, Sylmar, CA 91342 | 2008-06-04 |
| Find all providers in SYLMAR | ||||
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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.