Individual provider Active NPI

David L Pugatch, MD

  • Pediatric Infectious Diseases Physician
  • Madera, CA
National Provider Identifier
1245285147
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
G88383 Issued in CA
Practice address
9300 Valley Childrens PL
Division of Pediatric Infectious Diseases
Madera, CA 93636-8761
Phone
(559) 353-6450
Fax
(559) 353-7214
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 08415 RI
Pediatric Infectious Diseases Physician 2080P0208X G88383 CA Primary

Addresses

Primary practice location

9300 Valley Childrens PL
Division of Pediatric Infectious Diseases
Madera, CA 93636-8761

Mailing address

9300 Valley Childrens PL
Division of Pediatric Infectious Diseases
Madera, CA 93636-8761
Phone (559) 353-6450

Other identifiers 1

IdentifierTypeStateIssuer
DP32317MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G88383CAMDPediatric Infectious Diseases Physician
08415RIMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Valley Children'S Specialty Medical Group, Inc. Past Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients
Rhode Island Hospital PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1245285147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "address_2": "DIVISION OF PEDIATRIC INFECTIOUS DISEASES",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-6450",
            "fax_number": "559-353-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "address_2": "DIVISION OF PEDIATRIC INFECTIOUS DISEASES",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-6450",
            "fax_number": "559-353-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGATCH",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "RI",
            "license": "08415",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "CA",
            "license": "G88383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DP32317",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.