Individual provider Active NPI

Gavin Caesar Pereira, MBBS, FRCS

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Sacramento, CA
National Provider Identifier
1699070508
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
F5645 Issued in CA
Practice address
4860 Y St Ste 1700
Ucdmc Ortho Surgery Clinic
Sacramento, CA 95817-2307
Phone
(916) 734-2700
Fax
(916) 703-5074
NPI assigned
Jan 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X F5645 CA Primary
Orthopaedic Trauma Physician 207XX0801X F5645 CA

Addresses

Primary practice location

4860 Y St Ste 1700
Ucdmc Ortho Surgery Clinic
Sacramento, CA 95817-2307

Mailing address

4860 Y St Ste 3800
Ucdmc Dept of Ortho Surgery
Sacramento, CA 95817-2307
Phone (916) 734-5889

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110204000905 CA Practitioner - Orthopedic Surgery 1557541786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians

Practice addresses (Care Compare)

1180 N Indian Canyon Dr
Suite W201
Palm Springs, CA 92262-4876
Phone (760) 416-4511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement15
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F5645CAMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners CurrentSince Oct 7, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Oct 7, 2024 Accepting new patients
First Choice Physician Partners Past Accepting new patients

Locations

47647 Caleo Bay Dr
Ste 210
La Quinta, CA 92253
Phone (760) 760-5649

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1180 N Indian Canyon Dr
Ste W201
Palm Springs, CA 92262
Phone (760) 416-4575

1180 N Indian Canyon Dr
Ste W214
Palm Springs, CA 92262
Phone (760) 416-4545

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gavin.pereira.1@14035.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1699070508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3800",
            "address_2": "UCDMC DEPT OF ORTHO SURGERY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-5889",
            "fax_number": "916-734-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 1700",
            "address_2": "UCDMC ORTHO SURGERY CLINIC",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-2700",
            "fax_number": "916-703-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "GAVIN",
        "middle_name": "CAESAR",
        "name_prefix": "Dr.",
        "credential": "MBBS, FRCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-24",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "F5645",
            "primary": true
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CA",
            "license": "F5645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.