Gina M Caravaglia, DO

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

2OA-8781 Issued in CA

Practice address

67580 Jones Rd
Cathedral City, CA 92234-6401

Phone

(760) 992-3473

Fax

(760) 797-7337

NPI assigned

Jan 3, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Addiction Medicine

Education

Lake Erie Col of Osteo Med at Seton Hill Univ, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Margaret Bowen MD, PLLCGroup PAC ID 0547529620, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3442/brand/1/csg/61/fhir/r4

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.

• Margaret Bowen MD PLLC

  • General Practice Physician
  • Reidsville, NC
  • NPI 1265949788
  Medicare reassignment Care Compare group NPD
• DRX High Point, PLLC

  dba American Family Care

  • Multi-Specialty Clinic/Center
  • High Point, NC
  • NPI 1669701306
  NPD
• Legacy Chiropractic Inc.

  • Chiropractor
  • Oklahoma City, OK
  • NPI 1124547815
  NPD
• Mountaineer Medical Services, PLLC

  • General Practice Physician
  • Boone, NC
  • NPI 1760761258
  NPD
• Memrad Medical Group Inc

  • Radiology Clinic/Center
  • Long Beach, CA
  • NPI 1831173905
  NPD (past)
• Cardiology Clinic of Muskogee, Inc.

  dba CCOM Medical Group, Inc.

  • Internal Medicine Physician
  • Muskogee, OK
  • NPI 1053380287
  NPD (past)
• DRX High Point, PLLC

  dba American Family Care

  • Family Medicine Physician
  • High Point, NC
  • NPI 1164882031
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1538147459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 VIA MINORCA",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922341526",
            "telephone_number": "760-992-3473",
            "fax_number": "760-797-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67580 JONES RD",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922346401",
            "telephone_number": "760-992-3473",
            "fax_number": "760-797-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 E Main St",
            "address_purpose": "LOCATION",
            "city": "Hulbert",
            "state": "OK",
            "postal_code": "744418902",
            "country_code": "US",
            "telephone_number": "918-772-2879",
            "fax_number": "918-772-1233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 E Main St",
            "address_purpose": "LOCATION",
            "city": "Hulbert",
            "state": "OK",
            "postal_code": "744418902",
            "country_code": "US",
            "telephone_number": "918-772-2879",
            "fax_number": "918-772-1233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARAVAGLIA",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "2OA-8781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200122600A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calmed Hospice Care, Inc
• Fabian Camarena-Huerta
• Alexander Jay Camarillo, DPT
• Ernest U Campos, DO
• Peter N Capobianco, RPH
• John Lewis Carey, PT
• Caring Rose Human Services
• Kevin Emralino Carizon, PT
• Jenny Carr, RD
• Deanne Carroll, RN

• Addiction Medicine (Family Medicine) Physician in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Addiction Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• 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.