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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | A43218 | CA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PIN | 00A432180 | 01 |
Street Address |
3975 JACKSON ST SUITE 309 |
City | RIVERSIDE |
State | CA |
Zip Code | 92503-3901 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 92503 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
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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 |
Find all providers in RIVERSIDE |
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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.