Asha Devereaux, MD, MPH a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A51614 Issued in CA

Legal business name

ASHA DEVEREAUX, MD, MPH A PROFESSIONAL CORPORATION

Practice address

1224 10TH St
Ste 205
Coronado, CA 92118-3416

Phone

(619) 435-4203

NPI assigned

Jan 14, 2008

Organization subpart

No

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

Authorized official

Name

Asha V Devereaux, MDNPI 1154392421

Title

President

Phone

(619) 435-4203

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Asha Vyas Devereaux, MD, MPH

  • Pulmonary Disease Physician
  • Coronado, CA
  • NPI 1154392421

  CA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1053597641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 10TH ST",
            "address_2": "STE 205",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183416",
            "telephone_number": "619-435-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 10TH ST",
            "address_2": "STE 205",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183416",
            "telephone_number": "619-435-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHA DEVEREAUX, MD, MPH A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "DEVEREAUX",
        "authorized_official_first_name": "ASHA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-435-4203",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A51614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A516140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vasiliki M Anvari, M.D.
• Applied Psychological Health Inc
• Grayson Arceo, PT, DPT
• Arctic Circle Occupational Therapy
• Lantz E Arnell, MD
• Angela Ataya
• Neha Athale, F.N.P.
• Thomas James Avallone, M.D.
• Ann-Marie Avanni
• Robert Charles Avery, PT, DPT

• All providers in Coronado, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.