Lubov Patouga, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

51443 Issued in CA

Practice address

1289 S Park Victoria Dr Ste 200
Milpitas, CA 95035-6974

Phone

(408) 586-8866

Fax

(408) 586-8858

NPI assigned

Mar 11, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: lubovpatouga@cmgi.allscriptsdirect.net

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1932525219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 S PARK VICTORIA DR STE 200",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356974",
            "telephone_number": "408-586-8866",
            "fax_number": "408-586-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 S PARK VICTORIA DR STE 200",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356974",
            "telephone_number": "408-586-8866",
            "fax_number": "408-586-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATOUGA",
        "first_name": "LUBOV",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51443",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "51443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pallavi S Patel, RPH
• Roshni Patel, D.D.S.
• Seema Kanani Patel, LCSW
• Dhanashri Nilesh Patil
• Rashmi Patil, NP
• Esmeralda Perez
• Daniel Perman, DC, DACNB
• Casey Perry
• Amy Doan Pham, D.C
• Andrew Long Pham, OD

• Medical Physician Assistant in Milpitas, CA
• Providers in Milpitas, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.