Vadim Gurvits, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A7384 Issued in CA

Practice address

29798 Haun Rd
Menifee, CA 92586-6541

Phone

(951) 679-9700

Fax

(951) 672-0835

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Menifee Laser Center, Inc.

  • Adult Medicine Physician
  • Menifee, CA
  • NPI 1659093599
  NPD (past) Authorized official
• Patrick & Edivina Gonzales Medical Group Inc

  • Internal Medicine Physician
  • Menifee, CA
  • NPI 1619905080
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1790725398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925860966",
            "telephone_number": "951-679-9700",
            "fax_number": "951-679-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29798 HAUN RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866541",
            "telephone_number": "951-679-9700",
            "fax_number": "951-672-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURVITS",
        "first_name": "VADIM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirlinda Guerrero
• Alain Guevara, CAMTC
• Antonio Guevara
• Natalie Guevara
• Lindsey Rae Gump, OTR/L
• Brandan Gutierrez, BA
• Enrique Gutierrez Jr.
• Rolando Gutierrez, M.D.
• Angel Marie Guzman
• Katherine Hague

• Family Medicine Physician in Menifee, CA
• Providers in Menifee, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.