Preeti K Dave, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 15835 Issued in CA

Practice address

1120 W Warner Ave
Santa Ana, CA 92707-3179

Phone

(562) 261-5259

Fax

(562) 261-5259

NPI assigned

Jun 29, 2007

Last updated

Aug 31, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Quality Medical Center IncGroup PAC ID 2264918895, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Quality Medical Center Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Burbank, CA
  • NPI 1982573838
  Medicare reassignment Care Compare group NPD
• I Ready Medical Center Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Burbank, CA
  • NPI 1104628148
  Medicare reassignment NPD
• La Family Medical Group Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Burbank, CA
  • NPI 1164391009
  Medicare reassignment NPD
• Riverside Optimal Healthcare, Inc

  • Neurology Physician
  • Burbank, CA
  • NPI 1497352876
  Medicare reassignment
• Bright Medical Associates, Inc.

  • Specialist
  • Whittier, CA
  • NPI 1578576880
  NPD (past)
• Greater Los Angeles Oncology Medical Corporation

  • Hematology & Oncology Physician
  • Los Angeles, CA
  • NPI 1295746394
  NPD (past)
• Royal Medical Group

  • Occupational Medicine Physician
  • Santa Ana, CA
  • NPI 1316026826
  NPD (past)
• Royal Medical Group

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1598914780
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1114124534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2221",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902420221",
            "telephone_number": "562-261-5259",
            "fax_number": "562-261-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W WARNER AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073179",
            "telephone_number": "562-261-5259",
            "fax_number": "562-261-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "PREETI",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 15835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riane Daugherty, RN
• Lance Richardson Daur, MFT
• Nicole Daurio
• Shahriar Bobby Davari, M.D.
• Borzuyeh Brad Davarpanah, LMFT
• Priyanka Dave
• Ashley Kaylene Davenport, LMFT
• David Bernard Sacks MD Inc
• David C. Yang, M.D., Inc. (Bristol Pediatrics, Inc.)
• David Francisco Zegarra Dental Corporation (Luna Family Dental)

• Physician Assistant in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.