Peter Navolanic M.D. Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

GO25971 Issued in CA

Legal business name

PETER NAVOLANIC M.D. INC.

Practice address

1100 Rose Dr
Suite 140
Benicia, CA 94510-3623

Phone

(707) 751-1567

Fax

(707) 745-1902

NPI assigned

Jul 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Peter Navolanic II, M.D.

Title

President

Phone

(707) 751-1567

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1194954651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ROSE DR",
            "address_2": "SUITE 140",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103623",
            "telephone_number": "707-751-1567",
            "fax_number": "707-745-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ROSE DR",
            "address_2": "SUITE 140",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103623",
            "telephone_number": "707-751-1567",
            "fax_number": "707-745-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER NAVOLANIC M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "NAVOLANIC",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-751-1567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "GO25971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick L. Roetzer, D.D.S., Inc.
• Tracy Patrick, CLD CPD
• Kendra Paulsen, LMFT
• Benjamin Pena
• Michael O Pendergast, RADT
• Anne L. Petty, LCSW
• Joshua Justin Pfeiffer, PA-C
• Susan Meehleis Phillips, MFT
• Gary Archie Plaskett
• Deandre M Powell

• Primary Care Clinic/Center in Benicia, CA
• Providers in Benicia, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.