DR. NAVIN A MALLAVARAM (NPI# 1962677724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962677724 |
| Entity Type | Individual |
| Full Name | DR. NAVIN A MALLAVARAM |
| Credential | M.D. |
| Practice Address |
5924 Stoneridge Dr Suite 206 Pleasanton CA 94588-2887 |
| Practice Telephone | 9254699120 |
| Mailing Telephone | 9254699120 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2012-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
104871 | CA | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
245250 | NY | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
A104871 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5924 STONERIDGE DR SUITE 206 |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-2887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124082359 | Lucille B. Andersen | Orthopaedic Surgery | 5924 Stoneridge Dr, Suite 103, Pleasanton, CA 94588-2887 | 2006-04-14 |
| 1366813610 | Eun-ju Park | Acupuncturist | 5924 Stoneridge Dr, Suite 204a, Pleasanton, CA 94588-2887 | 2015-10-13 |
| 1407287592 | Accura Imaging, Inc | Radiologic Technologist | 5924 Stoneridge Dr, Suite 205, Pleasanton, CA 94588-2887 | 2013-11-27 |
| 1619318391 | Summit Surgery Center LLC | Clinic/Center | 5924 Stoneridge Dr, 206, Pleasanton, CA 94588-2887 | 2013-07-10 |
| 1235575051 | Andersen Orthopedics, A Professional Corporation | Orthopaedic Surgery | 5924 Stoneridge Dr, Suite 103, Pleasanton, CA 94588-2887 | 2013-05-20 |
| 1194094144 | Marta Baird | Dentist | 5924 Stoneridge Dr, Suite 203, Pleasanton, CA 94588-2887 | 2011-12-20 |
| 1164708582 | Navin Mallavaram, M.d., Inc. | Pain Medicine | 5924 Stoneridge Dr, Suite 206, Pleasanton, CA 94588-2887 | 2011-10-31 |
| 1679855076 | East Bay Retina Consultants A Medical Group, Inc. | Ophthalmology | 5924 Stoneridge Dr, Suite 201, Pleasanton, CA 94588-2887 | 2011-09-13 |
| 1801192646 | Breastlink Medical Group Inc | Chiropractor | 5924 Stoneridge Dr, Suite 108, Pleasanton, CA 94588-2887 | 2011-01-26 |
| 1255633707 | Pain Medicine Consultants, Inc. | Durable Medical Equipment & Medical Supplies | 5924 Stoneridge Dr, Suite 102, Pleasanton, CA 94588-2887 | 2010-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164708582 | Navin Mallavaram, M.d., Inc. | Pain Medicine | 5924 Stoneridge Dr, Suite 206, Pleasanton, CA 94588-2887 | 2011-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795836 | John Qian M.d. Inc. | Pain Medicine | 5360 Jackson Dr Ste 100, La Mesa, CA 91942-3012 | 2020-03-18 |
| 1831751403 | Abigail Howe | Pain Medicine | 2421 Park Blvd # B205, Palo Alto, CA 94306-1998 | 2019-07-03 |
| 1144781519 | Central Coast Functional Restoration Program Inc | Pain Medicine | 1260 41st Ave Ste D, Capitola, CA 95010-3929 | 2019-03-28 |
| 1497226419 | Birladeanu Medical Corp | Pain Medicine | 5255 Elkhorn Blvd Ste A, Sacramento, CA 95842-2506 | 2018-12-17 |
| 1033649413 | Latora Subani | Pain Medicine | 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 | 2017-06-18 |
| 1982061354 | Hilary J Fausett, M.d. A Medical Corporation | Pain Medicine | 39 Congress St Ste 303, Pasadena, CA 91105-3022 | 2016-01-15 |
| 1346616695 | Nuvation Pain Group | Pain Medicine | 5832 Beach Blvd Unit 208, Buena Park, CA 90621-5501 | 2015-08-20 |
| 1740674050 | Guardian Headache and Pain Management Institute LLC | Pain Medicine | 3747 Franklin Ave, Suite 200, Long Beach, CA 90808-1334 | 2015-03-25 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1659772606 | Sonny Rubin, M.d. Inc | Pain Medicine | 455 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-4241 | 2014-09-09 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
Please comment or provide details below to improve the information on DR. NAVIN A MALLAVARAM.
| 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.