DR. PRAVIN J KANSAGRA MD (NPI# 1205861614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205861614 |
| Entity Type | Individual |
| Full Name | DR. PRAVIN J KANSAGRA MD |
| Other Name | PRAVIN J KANSAGRA |
| Credential | M.D. |
| Practice Address |
1020 S Anaheim Blvd Suite 215 Anaheim CA 92805-5851 |
| Mailing Address |
1092 S Taylor Ct Anaheim CA 92808-2425 |
| Practice Telephone | 7143358570 |
| Practice Fax Number | 7142800128 |
| Mailing Telephone | 7143358570 |
| Mailing Fax Number | 7142800128 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2010-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A446850 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD OF CA | 00A446850 | 01 |
| CA | BLUE CROSS | 00A446850 | 01 |
| CA | 00A446850 | 05 | |
| CA | AETNA | 4584291 | 01 |
| Street Address |
1020 S ANAHEIM BLVD SUITE 215 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-5851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174504138 | Carolyn Anne Mottola | Psychologist | 1020 S Anaheim Blvd, Suite 215, Anaheim, CA 92708 | 2005-11-08 |
| 1841658291 | Natalie Anne Bader | Social Worker | 1020 S Anaheim Blvd, Suite 215, Anaheim, CA 92805-5851 | 2016-01-31 |
| 1619355500 | Anaheim Care Pharmacy Inc | Pharmacy | 1020 S Anaheim Blvd, Suite 106, Anaheim, CA 92805-5851 | 2015-05-11 |
| 1316331887 | Sunghye Med Corp | Psychiatric Residential Treatment Facility | 1020 S Anaheim Blvd, Suite 209, Anaheim, CA 92805-5851 | 2015-03-23 |
| 1235549262 | Mi Familia Nursing PC | Nurse Practitioner | 1020 S Anaheim Blvd, Suite 208, Anaheim, CA 92805-5851 | 2014-04-29 |
| 1245540475 | J.a.l. Santos M.d. Inc | Clinic/Center | 1020 S Anaheim Blvd, Suite 220, Anaheim, CA 92805-5851 | 2010-10-21 |
| 1689987521 | Pravin J Kansagra Md Inc | Clinic/Center | 1020 S Anaheim Blvd, Suite 215, Anaheim, CA 92805-5851 | 2010-07-21 |
| 1619100260 | Advanced Research Center, Inc. | Psychologist | 1020 S Anaheim Blvd, #316, Anaheim, CA 92805-5851 | 2009-08-31 |
| 1821118472 | Gregory Lwinthet Chan | Obstetrics & Gynecology | 1020 S Anaheim Blvd, Ste #101, Anaheim, CA 92805-5807 | 2007-03-29 |
| 1780709253 | Bum Soo Lee | Psychiatric Hospital | 1020 S Anaheim Blvd, Anaheim, CA 92805-5851 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326345398 | Steven R. Calleros, M.d., Inc. | Psychiatry & Neurology | 130 S Imperial Hwy, Anaheim, CA 92807-3943 | 2011-02-27 |
| 1073740254 | Saeed Eshraghi | Psychiatry & Neurology | 971 S Jay Cir, Anaheim, CA 92808-2105 | 2009-06-16 |
| 1881838530 | Uyen Bao Hoang | Psychiatry & Neurology | 2035 E Ball Rd Ste C, Anaheim, CA 92806-5159 | 2009-04-24 |
| 1659560415 | R. J. Pompei, M.d. Inc | Psychiatry & Neurology | 3055 W. Orange Ave., Ste. 206, Anaheim, CA 92804-3154 | 2007-10-17 |
| 1669672564 | Raj P Rajani, Md, Inc. | Psychiatry & Neurology | 1107 S Anaheim Blvd, Anaheim, CA 92805-5811 | 2007-07-19 |
| 1376762088 | Laila Hengameh Akhbarati | Psychiatry & Neurology | 2035 E Ball Rd Bldg A, Anaheim, CA 92806-5159 | 2007-04-24 |
| 1598883233 | Shari S. Muir | Psychiatry & Neurology | 1950 W Corporate Way, Pmb 12700, Anaheim, CA 92801-5373 | 2007-03-27 |
| 1336281989 | Michael D Doucette | Psychiatry & Neurology | 415 N State College Blvd, Adp Medical Group, Anaheim, CA 92806 | 2007-02-12 |
| 1417003567 | Jeffrey Peterson | Psychiatry & Neurology | 2911 E Coronado St, Anaheim, CA 92806 | 2007-01-25 |
| 1457409682 | Dorothy Savarirayan | Psychiatry & Neurology | 3356 W Ball Rd Ste 205, Anaheim, CA 92804-3728 | 2007-01-05 |
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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.