NPIMap

Individual provider Active NPI

Neva Marie Monigatti Lake, MD

  • Family Medicine Physician
  • Grass Valley, CA
National Provider Identifier
1265487383
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G58310 Issued in CA
Practice address
300 Sierra College Dr
Ste 170
Grass Valley, CA 95945-5083
Phone
(530) 273-4376
Fax
(530) 273-6426
NPI assigned
May 24, 2006
Last updated
Oct 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G58310 CA Primary

Addresses

Primary practice location

300 Sierra College Dr
Ste 170
Grass Valley, CA 95945-5083

Mailing address

300 Sierra College Dr
Ste 170
Grass Valley, CA 95945-5083
Phone (530) 273-4376

Other identifiers 3

IdentifierTypeStateIssuer
080061188OtherCARAILROAD MEDICARE
ZZZ627762OtherCABLUE SHIELD
00G583100MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050523000367 CA Practitioner - Family Practice 0547201337 Receives reassigned benefits from 4 practitioners
Practice locations: Grass Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 1985
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

300 Sierra College Dr
Grass Valley, CA 95945-5082

300 Sierra College Dr
Suite 170
Grass Valley, CA 95945-5083
Phone (530) 273-4376

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions33
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G58310CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neva Monigatti-Lake, M.D. Family Medicine PastSince Mar 31, 1988 Accepting new patients
Neva Monigatti-Lake, M.D. Family Medicine PastSince Mar 31, 1988 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEBABA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BEBABA/Endpoint/BEBABA
  • Direct secure messaging: neva.monigattilake@nml.eclinicaldirectplus.com

Practitioners & affiliated clinicians

Practitioners 4

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.

Organizations & group practices 2

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1265487383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SIERRA COLLEGE DR",
            "address_2": "STE 170",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455083",
            "telephone_number": "530-273-4376",
            "fax_number": "530-273-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SIERRA COLLEGE DR",
            "address_2": "STE 170",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455083",
            "telephone_number": "530-273-4376",
            "fax_number": "530-273-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONIGATTI LAKE",
        "first_name": "NEVA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G58310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080061188",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ627762",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G583100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.