Active NPI
Neva Monigatti-Lake, M.D.
- Family Medicine Physician
- Grass Valley, CA
National Provider Identifier
1740477587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G58310
- Legal business name
- NEVA MONIGATTI-LAKE, M.D.
- Practice address
- 300 Sierra College Dr
Grass Valley, CA 95945-5082 - Phone
- (530) 273-4376
- Fax
- (530) 273-6426
- NPI assigned
- Sep 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Chris Evans
- Title
- Office Administrator
- Phone
- (530) 273-4376
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G58310 | CA | Primary |
Addresses
Primary practice location
300 Sierra College Dr
Grass Valley, CA 95945-5082
Mailing address
300 Sierra College Dr
Grass Valley, CA 95945-5082
Phone (530) 273-4376
National Provider Directory
National Provider Directory- Tax ID family
- Neva Monigatti Lake MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Grass Valley, CA
- NPI 1427237684
Locations
300 Sierra College Dr
Grass Valley, CA 95945
Phone (530) 273-6530
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Grass Valley, CA
- NPI 1265487383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190678400000",
"number": "1740477587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SIERRA COLLEGE DR",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455082",
"telephone_number": "530-273-4376",
"fax_number": "530-273-6426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SIERRA COLLEGE DR",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455082",
"telephone_number": "530-273-4376",
"fax_number": "530-273-6426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEVA MONIGATTI-LAKE, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-25",
"last_updated": "2007-09-25",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "530-273-4376",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "G58310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
- Katherine Nerelli
- Chelsea Nesmejanow
- Tiffany Antoinette Netherby
- Ashley Nettles
- Neva Monigatti-Lake, M.D.
- Nevada City Medical Office Inc a Professional Corporation
- Nevada County Behavioral Health
- Nevada County Crisis Stabilization Unit
- Nevada County Human Services Agency
- Nevada JT. Union High School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.