Swati Panse MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C51794 Issued in CA

Legal business name

SWATI PANSE MD INC

Practice address

621 N State St
Ste 1
San Jacinto, CA 92583-6567

Phone

(951) 929-6260

Fax

(951) 765-2855

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Swati Panse, MDNPI 1891883674

Title

Owner

Phone

(951) 654-4044

Specialties & licenses 1

Addresses

Other names 1

• Ace Pediatrics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Swati Panse, MD

  • Pediatrics Physician
  • San Jacinto, CA
  • NPI 1891883674
  NPD Authorized official

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1154525335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925460788",
            "telephone_number": "951-929-6260",
            "fax_number": "951-765-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 N STATE ST",
            "address_2": "STE 1",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925836567",
            "telephone_number": "951-929-6260",
            "fax_number": "951-765-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWATI PANSE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "PANSE",
        "authorized_official_first_name": "SWATI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-654-4044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C51794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ace Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ace Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wanda Denise Street, M.D.
• Christi Suits
• Beatriz Sumahit
• Beth Deeon Sutch, INTERN
• Yelena Sverdlova, ED.D., RADT
• Martha Tapia
• Vykhanh Tarr, PHARMD
• Rita Charmaine Taylor, LVN
• Tom Roy Taylor
• Benjamin Martin Tedeschi

• Pediatrics Physician in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.