Jose M. Pavia, MD, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C43068 Issued in CA

Legal business name

JOSE M. PAVIA, MD, INC.

Practice address

13768 Roswell Ave
Suite 101
Chino, CA 91710-1401

Phone

(909) 517-2188

Fax

(909) 517-1598

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jose M. Pavia, M.D.

Title

MD/President

Phone

(909) 517-2188

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1366511370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "address_2": "SUITE 101",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "909-517-2188",
            "fax_number": "909-517-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE",
            "address_2": "SUITE 101",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101401",
            "telephone_number": "909-517-2188",
            "fax_number": "909-517-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE M. PAVIA, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "PAVIA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "909-517-2188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C43068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan D Ou MD Inc
• Dervonshay Jones
• Joo Kim Dental Professional Corporation
• Victor Jordan, PH.D.
• Jose a Dheming MD Inc
• Joseph C. Hohl,Inc
• Joseph Chan Corp Corporation
• Josh Kohan DMD Inc
• Bijal B Joshi, D.D.S
• Mitwa Sharad Joshi

• Family Medicine Physician in Chino, CA
• Providers in Chino, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.