Paul Zlatko Pavlovic, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A43803 Issued in CA

Practice address

3305 Brolio CT
Rancho Cordova, CA 95670-6952

Phone

(916) 852-8032

Fax

(916) 852-8032

NPI assigned

Jan 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cameron Park Counseling Center

  • Point of Service
  • Cameron Park, CA
  • NPI 1093104325
  NPD (past)
• Cameron Park Counseling Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cameron Park, CA
  • NPI 1477760874
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1326199639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 BROLIO CT",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706952",
            "telephone_number": "916-852-8032",
            "fax_number": "916-852-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 BROLIO CT",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706952",
            "telephone_number": "916-852-8032",
            "fax_number": "916-852-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOVIC",
        "first_name": "PAUL",
        "middle_name": "ZLATKO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A43803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Myisha Parker
• Dorota Parker
• Karen Arlene Passerino
• Amar Patel
• Ashley K Paul, MFT
• Naomi Mari Payneta
• Taylor Steven Pearce
• John Peavy III
• John Joseph Pellegrini, D.C.
• Simon J Pence, PHARMD

• Psychiatry Physician in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.