Placerville Internal Medicine Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PLACERVILLE INTERNAL MEDICINE INC

Practice address

1000 Fowler Way
Suite 6
Placerville, CA 95667-5738

Phone

(530) 622-9400

Fax

(530) 622-9440

NPI assigned

Mar 21, 2007

Last updated

Nov 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ketan P Ajudia, M.D.NPI 1114934866

Title

President

Phone

(530) 622-9400

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ketan P Ajudia, M.D.

  • Internal Medicine Physician
  • Placerville, CA
  • NPI 1114934866
  NPD (past) Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1891811840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 587",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956670587",
            "telephone_number": "530-622-9400",
            "fax_number": "530-622-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FOWLER WAY",
            "address_2": "SUITE 6",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675738",
            "telephone_number": "530-622-9400",
            "fax_number": "530-622-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLACERVILLE INTERNAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "AJUDIA",
        "authorized_official_first_name": "KETAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-622-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hepatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Ross Pierce, DDS
• Gary M. Pinkley, PHARMD
• Vanessa Leigh Piper
• Marcia M Pizzio
• Placerville Family Practice Medical Group, Inc
• Placerville Pines Care Center, Inc.
• Placerville Radiology Medical Group Inc
• Placerville Uesd
• Larelle Chere Plubell, D.C.
• Dennis Plunkett, MC, CC

• Internal Medicine Physician in Placerville, CA
• Providers in Placerville, 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 Nov 12, 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.