ABHISHEK GOWDA (NPI# 1710114772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710114772 |
| Entity Type | Individual |
| Full Name | ABHISHEK GOWDA |
| Credential | M.D. |
| Practice Address |
429 Llewellyn Ave Campbell CA 95008-1948 |
| Mailing Address |
300 Berry St Unit 813 San Francisco CA 94158-1666 |
| Practice Telephone | 4083641616 |
| Practice Fax Number | 4083786775 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2015-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
A116395 | CA | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
A116395 | CA | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
A116395 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
429 LLEWELLYN AVE |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457345944 | Felicia Radu-radulescu | Specialist | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2005-09-12 |
| 1053879395 | Bay Area Pain Rehab Professional Corporation | Clinic/Center | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2019-03-05 |
| 1659860302 | Jothi Murali Md Inc | Orthopaedic Surgery | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2018-05-08 |
| 1679913552 | Spine Sports Surgery Center, LLC | Clinic/Center | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2013-06-25 |
| 1659632339 | Mikiko Murakami | Physical Medicine & Rehabilitation | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2012-05-30 |
| 1841551579 | Nicholas Colyvas Md Inc | Orthopaedic Surgery | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2012-05-29 |
| 1043576978 | James Pascua | Radiologic Technologist | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2012-04-04 |
| 1982909677 | Rebecca Carroll | Radiologic Technologist | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2011-01-11 |
| 1992013148 | Michael Komar | Radiologic Technologist | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2010-09-22 |
| 1699083303 | Titus Hodge | Radiologic Technologist | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2010-09-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
| Find all providers in zip 95008 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619366614 | Maliheh Massih Md Inc | Physical Medicine & Rehabilitation | 3425 S Bascom Ave, Ste 200, Campbell, CA 95008-7300 | 2015-01-13 |
| 1659632339 | Mikiko Murakami | Physical Medicine & Rehabilitation | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2012-05-30 |
| 1649451923 | Advanced Pain and Rehabilitation | Physical Medicine & Rehabilitation | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2007-11-15 |
| 1023186004 | Spine & Sports Medical Group Inc | Physical Medicine & Rehabilitation | 429 Llewellyn Ave, Campbell, CA 95008-1948 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295608 | San Diego Comprehensive Pain Management Center, Inc | Physical Medicine & Rehabilitation | 1575 W Main St, El Centro, CA 92243-2211 | 2020-11-06 |
| 1760013536 | Aveva Medical Aesthetics Inc. | Physical Medicine & Rehabilitation | 4702 W 1st St Ste C, Santa Ana, CA 92703-3100 | 2020-01-30 |
| 1902445620 | Irina L Melnik, Md Professional Corporation | Physical Medicine & Rehabilitation | 655 Redwood Hwy Frontage Rd Ste 203, Mill Valley, CA 94941-3025 | 2019-12-27 |
| 1124669544 | Algos Inc., A Medical Corporation | Physical Medicine & Rehabilitation | 26357 Mcbean Pkwy Ste 210, Santa Clarita, CA 91355-4497 | 2019-10-07 |
| 1174084578 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 802 Iowa Ave, Los Banos, CA 93635-3450 | 2019-03-28 |
| 1083175483 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 777 S Ham Ln Ste G, Lodi, CA 95242-3593 | 2019-03-28 |
| 1679031611 | Jesus H. Lao Md Inc | Physical Medicine & Rehabilitation | 6699 Alvarado Rd Ste 2304, San Diego, CA 92120-5241 | 2019-03-08 |
| 1316404262 | Advanced Pain Diagnostic & Solutions, Inc. | Physical Medicine & Rehabilitation | 1921 Sycamore Ln, Davis, CA 95616-0844 | 2019-02-27 |
| 1689157059 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 801 E Chapel St Ste 6, Santa Maria, CA 93454-4607 | 2018-09-12 |
| 1588147094 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 803 Coffee Rd Ste 11, Modesto, CA 95355-4244 | 2018-09-11 |
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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.