Preeti J. Srivatsa, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A83242 Issued in CA

Practice address

1191 E Yosemite Ave Ste C
Manteca, CA 95336-5071

Phone

(209) 824-2202

Fax

(209) 824-2205

NPI assigned

May 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Preeti Jahagirdar Former name

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

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 2

Specialty

Obstetrics/Gynecology

Education

Mayo Medical School, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

P. Gill Obstetrics and Gynecology Medical Group, Inc.Group PAC ID 9133019755, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• P. Gill Obstetrics & Gynecology Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Lodi, CA
  • NPI 1386636165
  Medicare reassignment Care Compare group
• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turlock, CA
  • NPI 1356445753
  Medicare reassignment NPD
• Northern Valley Indian Health Inc

  • Clinic/Center
  • Willows, CA
  • NPI 1295752384

  TX

  Medicare reassignment NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1134727746
  NPD
• Golden Valley Health Centers

  • Community/Retail Pharmacy
  • Merced, CA
  • NPI 1093817405
  NPD
• Northern Valley Indian Health Inc

  • Clinic/Center
  • Chico, CA
  • NPI 1750031548
  NPD
• Northern Valley Indian Health, Inc

  • Clinic/Center
  • Chico, CA
  • NPI 1740634286
  NPD

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1659326775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952411090",
            "telephone_number": "209-334-1800",
            "fax_number": "209-334-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 E YOSEMITE AVE STE C",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365071",
            "telephone_number": "209-824-2202",
            "fax_number": "209-824-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIVATSA",
        "first_name": "PREETI",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "31833",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A83242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2776661",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PREETI",
            "last_name": "JAHAGIRDAR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Southland Care Service LLC
• Calli Sierra Souza
• Kraianne Thompson Souza
• Mayra Alejandra Souza
• Jennah N Sparaco
• Edward Joseph Stanford, MD
• Aniyah Stanley
• Stavros Stathoudakis, PHARMD
• Frederick William Stellhorn, O.D.
• Cheryl Ann Striplin, PHARMD.

• Obstetrics & Gynecology Physician in Manteca, CA
• Providers in Manteca, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.