Active NPI
David L Pugatch, MD
- Pediatric Infectious Diseases Physician
- Madera, CA
National Provider Identifier
1245285147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- G88383
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DP32317 | Medicaid | RI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| G88383 | CA | MD | Pediatric Infectious Diseases Physician |
| 08415 | RI | MD | Pediatric Infectious Diseases Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Valley Children'S Specialty Medical Group, Inc. | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Rhode Island Hospital | Past | 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.
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- Pediatrics Physician
- Madera, CA
- NPI 1013968296
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- Psychiatric Hospital Unit
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- NPI 1083709109
-
- Specialist
- Providence, RI
- NPI 1093849036
-
- General Acute Care Hospital
- Providence, RI
- NPI 1104233832
-
- Chronic Disease Hospital
- Providence, RI
- NPI 1164508206
-
- Transplant Surgery Physician
- Providence, RI
- NPI 1174605208
-
- Dental Clinic/Center
- Providence, RI
- NPI 1356426613
-
- Hematology & Oncology Physician
- Lincoln, RI
- NPI 1477675262
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- Dental Clinic/Center
- Providence, RI
- NPI 1770601668
-
- Plastic and Reconstructive Surgery Physician
- Providence, RI
- NPI 1851729511
-
- Multi-Specialty Clinic/Center
- Providence, RI
- NPI 1942323068
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.