DIVYA LAKSHMI KOLLI (NPI# 1811340391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811340391 |
Entity Type | Individual |
Full Name | DIVYA LAKSHMI KOLLI |
Other Name | DIVYA LAKSHMI PANDURANGADU |
Credential | PA-C |
Practice Address |
935 Market St Yuba City CA 95991-4217 |
Practice Telephone | 5306744261 |
Practice Fax Number | 5306744269 |
Mailing Telephone | 5306744261 |
Mailing Fax Number | 5306744269 |
Enumeration Date | 2016-07-19 |
Last Update Date | 2019-05-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
53445 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
935 MARKET ST |
City | YUBA CITY |
State | CA |
Zip Code | 95991-4217 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811204555 | Ampla Health | Clinic/Center | 935 Market St, Yuba City, CA 95991-4217 | 2010-09-01 |
1245887660 | Vimaljit Kaur Wahga | Family Medicine | 935 Market St, Yuba City, CA 95991-4217 | 2019-08-20 |
1700395001 | Anita Sherali | Nurse Practitioner | 935 Market St, Yuba City, CA 95991-4217 | 2017-09-29 |
1609271915 | Clifford Blais | Family Medicine | 935 Market St, Yuba City, CA 95991-4217 | 2014-10-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326670290 | Dr. Page Hudson Dental Corporation | Dentist | 871 Gray Avenue, Suite B, Yuba City, CA 95991 | 2020-02-10 |
1457990756 | Amar Sohail, Dds, Inc | Dentist | 718 W. Onstott Frontage Road, Yuba City, CA 95991 | 2020-01-03 |
1295370203 | An M Vo | Physical Therapist | 825 Jones Road, Yuba City, CA 95991 | 2019-11-13 |
1720551021 | Brittany L Adams | Behavior Technician | 471 Century Dr., Ste.b, Yuba City, CA 95991 | 2019-01-09 |
1124538681 | Youth for Change | Clinic/Center | 1525 Plumas Court, Suites C & D, Yuba City, CA 95991 | 2017-10-10 |
1760902076 | Licia Dering | Behavior Technician | 1425 Tradewind Drive, Yuba City, CA 95991 | 2017-06-27 |
1306371059 | Hafiz Feezer Kassam | Orthopaedic Surgery | 470 Plumas Blvd Ste 201, Yuba City, CA 95991 | 2017-05-01 |
1912444357 | Daniel & Max, LLC | Optometrist | 444 Colusa Ave., Suite A, Yuba City, CA 95991 | 2017-01-24 |
1790041556 | Deanna Marie Pollock | Anesthesiology | 460 Plumas Blvd Ste 202, Yuba City, CA 95991 | 2012-04-05 |
1053689406 | Michael Tzung-hsun Yang | Pharmacist | 2555 Aurora Drive, Yuba City, CA 95991 | 2011-12-13 |
Find all providers in zip 95991 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568565489 | Suellen Rose Stenhouse | Physician Assistant | 1231 Plumas St, Yuba City, CA 95991-3410 | 2006-09-06 |
1164060182 | Dana Faye Aman | Physician Assistant | 350 Del Norte Ave, Yuba City, CA 95991-4123 | 2019-12-20 |
1215412655 | Christopher Stephen Pacheco | Physician Assistant | 1233 Plumas St Ste A, Yuba City, CA 95991 | 2018-10-02 |
1699133504 | Ashlyn Carmack | Physician Assistant | 480 Plumas Blvd, Yuba City, CA 95991-5005 | 2016-02-05 |
1508174129 | Farida Nasafi | Physician Assistant | 444 Plumas Blvd, Yuba City, CA 95991-5071 | 2010-09-16 |
1073849196 | Sonia M Troxell | Physician Assistant | 440 Plumas Blvd, Yuba City, CA 95991-5071 | 2009-10-23 |
1255664405 | Jennifer S. Cochrane | Physician Assistant | 444 Plumas Blvd, Yuba City, CA 95991-5071 | 2009-09-04 |
1346364841 | Sandra Jean Day | Physician Assistant | 1000 Sutter St, Yuba City, CA 95991-3459 | 2007-03-19 |
1275619454 | Linda E Nelson | Physician Assistant | 350 Del Norte Ave, Yuba City, CA 95991 | 2006-10-31 |
1629154240 | Anthony Martin Kelly | Physician Assistant | 471 Ainsley Ave, Yuba City, CA 95991-4105 | 2006-10-27 |
Find all providers in YUBA CITY |
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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.