Christine D Cavanaugh, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1050160 Issued in CA

Practice address

1141 N Olive Ave
Turlock, CA 95380-3365

Phone

(209) 667-2749

Fax

(209) 668-5396

NPI assigned

May 24, 2006

Last updated

Jan 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinica de Salud del Valle de SalinasGroup PAC ID 3678513736, shared by 10 NPIs, 34 clinicians

Mogo Urgent CareGroup PAC ID 7810329976, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christine.cavanaugh.p1@direct.cmcentersinc.nextgenshare.com
• FHIR API: https://api.platform.athenahealth.com/20554/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mogo Urgent Care

  • Urgent Care Clinic/Center
  • Monterey, CA
  • NPI 1770145682
  Medicare reassignment Care Compare group
• Del Puerto Health Care District

  dba Del Puerto Health Center

  • Rural Health Clinic/Center
  • Patterson, CA
  • NPI 1063430916
  Medicare reassignment NPD
• Sonora Community Hospital

  • Community/Retail Pharmacy
  • Sonora, CA
  • NPI 1740582568
  NPD
• Sonora Community Hospital

  dba Adventist Health Sonora

  • General Acute Care Hospital
  • Sonora, CA
  • NPI 1780673376
  NPD
• Vepema Medical Group

  • Emergency Medicine Physician
  • Turlock, CA
  • NPI 1356502496
  NPD (past)

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

• Community Hospital of the Monterey Peninsula

  • Psychiatric Hospital Unit
  • Monterey, CA
  • NPI 1679562169
  Care Compare affiliation
• Community Hospital of the Monterey Peninsula

  • General Acute Care Hospital
  • Monterey, CA
  • NPI 1932197258
  Care Compare affiliation

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1871548115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805",
            "telephone_number": "209-383-1848",
            "fax_number": "209-383-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N OLIVE AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953803365",
            "telephone_number": "209-667-2749",
            "fax_number": "209-668-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "CHRISTINE",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "1050160",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN544279",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP12234",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yarith Casas-Cortez
• Ivy Marie Castano, MSW
• Araceli Castillo, MSW, ASW
• Taneaka Castillo
• Trista Castro
• Alexis Cavazos
• Miguel Angel Cazares, M.D.
• Yomaira Ceballos
• Alicia Ceja-Garcia
• Center for Human Services

• Physician Assistant in Turlock, CA
• Providers in Turlock, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.