Individual provider Active NPI

Jamie Marie Pavlat, ARDMS

  • Sonography Radiologic Technologist
  • Santa Ana, CA
National Provider Identifier
1801074117
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
20892 Issued in CA
Practice address
1227 W 17TH St Ste 101
Ste101
Santa Ana, CA 92706-3458
Phone
(714) 500-0340
Fax
(714) 500-0341
NPI assigned
Feb 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 20892 CA Primary

Addresses

Primary practice location

1227 W 17TH St Ste 101
Ste101
Santa Ana, CA 92706-3458

Mailing address

1227 W 17TH St Ste 101
Ste101
Santa Ana, CA 92706-3458
Phone (714) 500-0340

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20892CAMDSonography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1801074117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 W 17TH ST STE 101",
            "address_2": "STE101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063458",
            "telephone_number": "714-500-0340",
            "fax_number": "714-500-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 W 17TH ST STE 101",
            "address_2": "STE101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063458",
            "telephone_number": "714-500-0340",
            "fax_number": "714-500-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLAT",
        "first_name": "JAMIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ARDMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "CA",
            "license": "20892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.