DR. RANDEEP K MAVI M.D. NPI 1114158086

NPI Information

  • NPI: 1114158086
  • Provider Name: DR. RANDEEP K MAVI, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 1450 TREAT BLVD
    SUITE 160
    WALNUT CREEK, CA
    ZIP 94597
  • Phone: (925) 296-9000

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NPI Details

DR. Randeep K Mavi, M.D. is a family medicine in Walnut Creek, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Randeep K Mavi, M.D. NPI is 1114158086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1450 TREAT BLVD
SUITE 160
WALNUT CREEK, CA
ZIP 94597-168
Phone: (925) 296-9000
Fax: (925) 296-9071

The enumeration date for this NPI number is 7/27/2009 and was last updated on 11/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301094259MICHIGANNo
2207Q00000XFamily MedicineA130210CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P01500109OTHERCALIFORNIARAILROAD MEDICARE
2CA128940MEDICARE PINCALIFORNIA
3320035325OTHERMICHIGANTAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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