Lakshmi K Avala MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A79103 Issued in CA

Legal business name

LAKSHMI K AVALA MD INC

Practice address

5959 Greenback LN Ste 210
Citrus Heights, CA 95621-4700

Phone

(916) 722-4565

Fax

(916) 722-5213

NPI assigned

May 21, 2018

Last updated

May 21, 2018By 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

Lakshmi Kumari Avala, MDNPI 1962473686

Title

Owner

Phone

(916) 722-4565

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lakshmi Kumari Avala, MD

  • Pediatrics Physician
  • Roseville, CA
  • NPI 1962473686
  NPD Authorized official
• Michelle Telesfora Gabrielli, FNP

  • Nurse Practitioner
  • Roseville, CA
  • NPI 1306207790
  NPD (past)
• Maria Recurt Hibdon, FNP

  • Nurse Practitioner
  • Roseville, CA
  • NPI 1881630085
  NPD (past)
• Carol Frances Milazzo, M.D.

  • Pediatric Adolescent Medicine Physician
  • Roseville, CA
  • NPI 1063423861
  NPD (past)
• Rona Vlasek, FNP

  • Family Nurse Practitioner
  • Sacramento, CA
  • NPI 1568192383
  NPD (past)

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1215428784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GREENBACK LN STE 210",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956214700",
            "telephone_number": "916-722-4565",
            "fax_number": "916-722-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 GREENBACK LN STE 210",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956214700",
            "telephone_number": "916-722-4565",
            "fax_number": "916-722-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKSHMI K AVALA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "AVALA",
        "authorized_official_first_name": "LAKSHMI",
        "authorized_official_middle_name": "KUMARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-722-4565",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A79103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENSE",
            "identifier": "A79103",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adam Edward Lane
• Jewel A Lane
• Esmeralda Langarica

• Pediatrics Physician in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.