PRAVIR R VATSA MD A MEDICAL CORPORATION (NPI# 1922409481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922409481 |
| Entity Type | Organization |
| Organization Name | PRAVIR R VATSA MD A MEDICAL CORPORATION |
| Practice Address |
775 Via Las Aguilas Arroyo Grande CA 93420-1953 |
| Mailing Address |
Po Box 550 Pismo Beach CA 93448-0550 |
| Practice Telephone | 8055409046 |
| Mailing Telephone | 8055409046 |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |
| Authorized Official Name | PRAVIR R VATSA (PRESIDENT) |
| Authorized Official Telephone | 8055409046 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
775 VIA LAS AGUILAS |
| City | ARROYO GRANDE |
| State | CA |
| Zip Code | 93420-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337174 | Element Nutrition Company, LLC | Dietitian, Registered | 405 E. Branch St. #102, Arroyo Grande, CA 93420 | 2020-02-06 |
| 1861965055 | Pacific Central Coast Health Centers | Clinic/Center | 850 Fair Oaks Ave Ste 310, Arroyo Grande, CA 93420 | 2019-01-10 |
| 1629552815 | Leanne Marie Ford | Physician Assistant | 536 Camino Mercado, Arroyo Grande, CA 93420 | 2018-09-24 |
| 1730662107 | Kelli Thompson Hamma | Massage Therapist | 630 Lancaster Dr, Arroyo Grande, CA 93420 | 2018-09-12 |
| 1063962595 | Suzanne Erickson | Social Worker | 2820 Poquito Place, Arroyo Grande, CA 93420 | 2016-10-07 |
| 1255888459 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2119 Lopez Dr, Arroyo Grande, CA 93420 | 2016-09-06 |
| 1225585664 | Tikva Treatment | Substance Abuse Rehabilitation Facility | 170 Nelson Street, Suite 102, Arroyo Grande, CA 93420 | 2016-09-01 |
| 1831541986 | Tikva Treatment LLC | Clinic/Center | 621 E Grande Ave, Arroyo Grande, CA 93420 | 2016-07-12 |
| 1255788543 | David E. Yocum, M.d., A Medical Corporation | Internal Medicine | 860 Oak Park Blvd., #204, Arroyo Grande, CA 93420 | 2016-05-17 |
| 1689059800 | David Hikaru Lindsey | Dentist | 203 Station Way, Arroyo Grande, CA 93420 | 2015-07-29 |
| Find all providers in zip 93420 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1487028056 | Cristina Valero, M.d. Inc. | Internal Medicine | 2470 Bayside Pl, Arroyo Grande, CA 93420-6544 | 2015-11-19 |
| 1588676407 | Gautam Sukhabhai Bhakta | Internal Medicine | 205 S Halcyon Rd, Arroyo Grande, CA 93420-2602 | 2006-08-12 |
| 1548289911 | Gary Edmond Foresman | Internal Medicine | 180 West Le Point St., Unit A, Arroyo Grande, CA 93420 | 2006-07-18 |
| 1669465878 | Tammie Kay Arnold | Internal Medicine | 160 Station Way Unit 1633, Arroyo Grande, CA 93421-5083 | 2005-08-24 |
| 1003276494 | Michael Zigelman | Internal Medicine | 189 Vista Dr, Arroyo Grande, CA 93420-1407 | 2016-02-29 |
| 1306030192 | Nancy O'malley | Internal Medicine | 260 Station Way, Arroyo Grande, CA 93420-3359 | 2007-09-05 |
| 1780603514 | Bala Krishna Bhat | Internal Medicine | 260 Station Way, Suite A, Arroyo Grande, CA 93420-3359 | 2006-07-19 |
| 1881625069 | Reshma Mahmood | Internal Medicine | 260 Station Way, Arroyo Grande, CA 93420-3359 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225872 | Prime Medicine Partners Inc | Internal Medicine | 7647 N Fresno St, Fresno, CA 93720-2578 | 2020-11-08 |
| 1710587670 | Physicians of Southern California Inc | Internal Medicine | 1304 W Holt Blvd Ste A, Ontario, CA 91762-3640 | 2020-10-29 |
| 1538768064 | Express Carenow, Inc | Internal Medicine | 4100 Central Ave Ste 101, Riverside, CA 92506-2930 | 2020-10-26 |
| 1861091795 | Sequoia Radiation Oncology Servics, Inc | Internal Medicine | 4945 W Cypress Ave Ste A, Visalia, CA 93277-1592 | 2020-10-21 |
| 1639778673 | Deepak Mehta | Internal Medicine | C/o Medical Staff Office, Cmf, Vacaville, CA 95696 | 2020-10-21 |
| 1053919332 | Kingsley Clinic of California, PC | Internal Medicine | 275 E Hillcrest Dr Ste 160, Thousand Oaks, CA 91360-7772 | 2020-10-09 |
| 1144836826 | Dr. Stephanie Mcclellen, Md PC | Internal Medicine | 900 Hyde St Fl 4, San Francisco, CA 94109-4806 | 2020-09-18 |
| 1346856358 | Kahala Biosciences Inc | Internal Medicine | 3 Whatney Ste 200, Irvine, CA 92618-2826 | 2020-09-16 |
| 1063027050 | Vinay Panchal Md Inc | Internal Medicine | Colusa Medical Center, 199 E Webster St, Colusa, CA 95932-2954 | 2020-09-15 |
| 1962017269 | One Primary Care Inc. | Internal Medicine | 800 S Central Ave Ste 212, Glendale, CA 91204-4388 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
| City | ARROYO GRANDE |
| Zip Code | 93420 |
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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.