Victor M Nava M D Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

C50719 Issued in CA

Legal business name

VICTOR M NAVA M D INC

Practice address

100 S. Harding Blvd. #2
Roseville, CA 95678-3360

Phone

(916) 481-3045

NPI assigned

Dec 29, 2008

Last updated

May 29, 2013By 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

Victor M Nava, M.D.

Title

President

Phone

(916) 481-3045

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1972749737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S. HARDING BLVD. #2",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783360",
            "telephone_number": "916-773-6282",
            "fax_number": "916-797-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S. HARDING BLVD. #2",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783360",
            "telephone_number": "916-481-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR M NAVA M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "NAVA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-481-3045",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C50719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00C507190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Victor R Suckesi DPM
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• Priya Vij

• Specialist in Roseville, CA
• Providers in Roseville, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.