Active NPI
Victor Manuel Nava, M.D.
- Plastic Surgery Physician
- Sacramento, CA
National Provider Identifier
1639227044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- C50719
- Practice address
- 1565 Exposition Blvd Ste 120
Sacramento, CA 95815-5196 - Phone
- (916) 297-6257
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | C50719 | CA | Primary |
Addresses
Primary practice location
1565 Exposition Blvd Ste 120
Sacramento, CA 95815-5196
Mailing address
1565 Exposition Blvd Ste 120
Sacramento, CA 95815-5196
Phone (916) 297-6257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C507190 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50719 | CA | MD | Physical Therapy Assistant |
Interoperability endpoints
- victor.nava.p1@direct.apdss.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730505600000",
"number": "1639227044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 EXPOSITION BLVD STE 120",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958155196",
"telephone_number": "916-297-6257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1565 EXPOSITION BLVD STE 120",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958155196",
"telephone_number": "916-297-6257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAVA",
"first_name": "VICTOR",
"middle_name": "MANUEL",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2024-11-02",
"certification_date": "2024-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "C50719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00C507190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.