Pravir R Vatsa MD a Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRAVIR R VATSA MD A MEDICAL CORPORATION

Practice address

775 Via Las Aguilas
Arroyo Grande, CA 93420-1953

Phone

(805) 540-9046

NPI assigned

Sep 15, 2014

Organization subpart

No

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

Authorized official

Name

Pravir R Vatsa, M.D.NPI 1003912239

Title

President

Phone

(805) 540-9046

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pravir R Vatsa, MD

  • Hospitalist Physician
  • San Luis Obispo, CA
  • NPI 1003912239

  Internal Medicine

  NPD Authorized official

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1922409481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934480550",
            "telephone_number": "805-540-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 VIA LAS AGUILAS",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934201953",
            "telephone_number": "805-540-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAVIR R VATSA MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "VATSA",
        "authorized_official_first_name": "PRAVIR",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-540-9046",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phase Physical Therapy and Wellness, PC
• Ruth Pick, M. D.
• Hannah Scobel Pisklov, PA-C
• Joseph Lee Pollon, MFT
• Gabriel Porter
• Gregory S Pritchett, DDS
• Katerina Pritchett, RDHAP
• Robert A Pull, D.C.
• Colin Douglas Quennell, LMFT
• Michael Quezada, M.D.

• Internal Medicine Physician in Arroyo Grande, CA
• Providers in Arroyo Grande, 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 Sep 15, 2014; 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.