Austin & Vatave MD's Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C41942 Issued in CA

Legal business name

AUSTIN & VATAVE MD'S INC.

Practice address

12675 La Mirada Blvd
Suite #300
La Mirada, CA 90638-2200

Phone

(562) 944-8054

Fax

(562) 946-5324

NPI assigned

Dec 20, 2006

Last updated

Dec 13, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shubhangi Godbole, M.D.

Title

President

Phone

(562) 944-8054

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1013071539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12675 LA MIRADA BLVD",
            "address_2": "SUITE #300",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382200",
            "telephone_number": "562-944-8054",
            "fax_number": "562-946-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12675 LA MIRADA BLVD",
            "address_2": "SUITE #300",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382200",
            "telephone_number": "562-944-8054",
            "fax_number": "562-946-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN & VATAVE MD'S INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "GODBOLE",
        "authorized_official_first_name": "SHUBHANGI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-944-8054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C41942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.