Marco Pavesi, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

C42767 Issued in CA

Practice address

2557 Mowry Ave
Suite 12
Fremont, CA 94538-1603

Phone

(510) 793-3722

Fax

(510) 793-8783

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpavesi7141@direct.whhs.com

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.

• Washington Township Hospital District

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1154472058
  Medicare reassignment NPD
• Washington Township Medical Foundation

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1346557014

  Pulmonary Disease

  Medicare reassignment NPD
• Washington Township Hospital District

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1679624407
  NPD
• Washington Township Medical Foundation

  • Urgent Care Clinic/Center
  • Fremont, CA
  • NPI 1669360681
  NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457379554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 MOWRY AVE",
            "address_2": "SUITE 12",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381603",
            "telephone_number": "510-793-3722",
            "fax_number": "510-793-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 MOWRY AVE",
            "address_2": "SUITE 12",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381603",
            "telephone_number": "510-793-3722",
            "fax_number": "510-793-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVESI",
        "first_name": "MARCO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C42767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Jean Patterson, LCSW
• Annessa Emilia Patton
• Manorama Rani G Patwa
• Joan Paul
• Kim Hoa Paulus
• Neiman T Paw, M.D.
• Puneet Kaur Pawar
• Vijayanand Pawar
• Heather Paxton, LCSW
• Payal Bavishi OD Prof Corp

• Pulmonary Disease Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.