Kathleen A Paveglio, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

G48106 Issued in CA

Practice address

4002 Vista Way
Oceanside, CA 92056-4506

Phone

(760) 473-7969

NPI assigned

Jul 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Julian Cuyamaca Fire Protection

  • Ambulance
  • Julian, CA
  • NPI 1144210147
  NPD (past)
• Morongo Basin Ambulance Assn., Inc.

  • Land Ambulance
  • Joshua Tree, CA
  • NPI 1164499877
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1982604641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3356",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920853356",
            "telephone_number": "760-672-4995",
            "fax_number": "760-867-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564506",
            "telephone_number": "760-473-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVEGLIO",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G48106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060012306",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0029770",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060011073",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Wansley Taylor, LMFT
• Latoya Patterson
• Viktoria Telnova Patterson
• Paul John Dietsch
• Paul T. Slowik, DPM.
• Diana Lynn Paxton
• Lindsey Deanne Payne, LAC
• Libby A Peachey, PSYD
• Peak Health Services Apc
• Donald Eugene Pearcy, O.D.

• Interventional Cardiology Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.