DR. KAUSTUBH VASANT PATANKAR


Address: 3975 Jackson St, Suite 309, Riverside, CA 92503-3901
Phone: 9513523937

DR. KAUSTUBH VASANT PATANKAR (NPI# 1083635593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083635593
Entity Type Individual
Full Name DR. KAUSTUBH VASANT PATANKAR
Credential M.D.
Practice Address 3975 Jackson St
Suite 309
Riverside
CA 92503-3901
Practice Telephone 9513523937
Practice Fax Number 9513522839
Mailing Telephone 9513523937
Mailing Fax Number 9513522839
Enumeration Date 2006-07-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist A43218 CA Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA PIN 00A432180 01

Office Location

Street Address 3975 JACKSON ST
SUITE 309
City RIVERSIDE
State CA
Zip Code 92503-3901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912905191 Magnolia Women's Center Obstetrics & Gynecology 3975 Jackson St, Ste 110, Riverside, CA 92503-3901 2005-07-12
1306466180 Priya Patel Registered Nurse 3975 Jackson St, Riverside, CA 92503-3901 2020-04-21
1164960597 Healing Tree Wellness Center Inc Acupuncturist 3975 Jackson St, Suite 2069, Riverside, CA 92503-3901 2017-02-06
1619423233 Akila Arous Physician Assistant 3975 Jackson St, Riverside, CA 92503-3901 2016-09-01
1417399510 Junmi Yi Acupuncturist 3975 Jackson St, Suite 209, Riverside, CA 92503-3901 2013-07-18
1174963177 Manju Kaur Nurse Practitioner 3975 Jackson St, Riverside, CA 92503-3901 2013-07-05
1427496603 Bongkyu Nam Acupuncturist 3975 Jackson St, Suite 209, Riverside, CA 92503-3901 2013-06-10
1427318781 Sudha Moola Md Inc Clinic/Center 3975 Jackson St, 208, Riverside, CA 92503-3901 2012-05-21
1376842864 Tiffany H. Aman Pediatrics 3975 Jackson St, Ste 207, Riverside, CA 92503-3901 2011-03-23
1407163942 Riverside Family Physicians Non-Pharmacy Dispensing Site 3975 Jackson St, 301, Riverside, CA 92503-3901 2010-09-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255953618 Mohammad Abul-fielat Dds Inc Dentist 3825 Tyler St, Riverside, CA 92503 2020-05-08
1205396488 Francisco Aguayo Behavioral Analyst 3345 Jackson St, Riverside, CA 92503 2019-03-22
1073071684 Racheal Ego Aneke Nurse Practitioner 9890 County Farm Rd., Building 2, Riverside, CA 92503 2019-03-04
1073070264 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 3500 Tyler Mall, Riverside, CA 92503 2019-02-25
1053893271 Tsibel Dental Practice Inc. Dentist 10181 Magnolia Ave, Riverside, CA 92503 2018-09-04
1508344714 Patricia Marraine Redondo Counselor 1625 14th St, Riverside, CA 92503 2018-07-31
1740766146 Robles Rodef & Yaghoubi Dental Corporation Dentist 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 2018-07-18
1467961755 Daniela Popa Assisted Living Facility 10820 Calle Bella, Riverside, CA 92503 2017-09-29
1457860306 Leah Dreany Peer Specialist 2085 Rustin Avenue Building #3, Riverside, CA 92503 2017-09-22
1710400445 Christopher John Guting Peer Specialist 10230 Indiana Avenue, Riverside, CA 92503 2017-07-25
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699383661 Transgender Health and Wellness Center Specialist 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 2020-07-16
1295350668 Bette Graff Specialist 4148 10th St, Riverside, CA 92501-3110 2020-06-11
1295275808 Eastern Comprehensive Medical Services Specialist 106 Sheephill Rd, Riverside, CT 06878-1120 2017-03-01
1245778331 Lynn Nevatt Specialist 3833 Jurupa Ave, Riverside, CA 92506-2221 2017-02-08
1093264145 Nephrology Associates Medical Group, Inc. Specialist 3660 Park Sierra Dr Ste 203, Riverside, CA 92505-3071 2016-09-30
1639625247 Dana Keim Specialist 6864 Indiana Ave Ste 104a, Riverside, CA 92506 2016-09-01
1720401615 Matthew Martinez Specialist 8205 Coleman St, Riverside, CA 92504-3107 2014-01-28
1649512575 Michael C Luciano Specialist 3120 Chicago Ave, Suite #170, Riverside, CA 92507-3490 2013-03-18
1508110461 Luis Angel Calvillo Jr. Specialist 246 Plews Ct, Riverside, CA 92507-1100 2012-10-30
1639474513 Jeanne Dunkel Specialist 3529 Hoover St, Riverside, CA 92504-3907 2011-01-24
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Competitor

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City RIVERSIDE
Zip Code 92503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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