Woody Calvin Taves, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R2236 Issued in TX

Practice address

60 MDG / Sgop
101 Bodin Circle
Travis AFB, CA 94535-1809

Phone

(916) 561-7793

NPI assigned

May 29, 2014

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1861804437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MDG / SGOP",
            "address_2": "101 BODIN CIRCLE",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MDG / SGOP",
            "address_2": "101 BODIN CIRCLE",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "916-561-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVES",
        "first_name": "WOODY",
        "middle_name": "CALVIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-29",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R2236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE - TRICARE DOD",
            "identifier": "186-180-4437",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Tajiri-White, PSY.D.
• Kristen Elizabeth Taleck, MD
• Michael Allan Tall, M.D.
• Arlo Modales Tan, M.D.
• Maria Guadalupe Tarin-Lopez, O.D.
• Douglas Francis Taylor, D.O.
• Glenhall Elmer Taylor III, M.D.
• Shanceline Esom Tebo
• The Janz Corporation (Janz Medical Supply)
• Adrianne Kamara Thompson, M.D.

• Internal Medicine Physician in Travis AFB, CA
• Providers in Travis AFB, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.