KAVITHA ELANGOVAN FNP NPI 1194305649

NPI Information

  • NPI: 1194305649
  • Provider Name: KAVITHA ELANGOVAN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5227 PROSPECTORS PKWY
    RIVERBANK, CA
    ZIP 95367
  • Phone: (209) 589-4881

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NPI Details

Kavitha Elangovan, FNP is a family nurse practitioner in Riverbank, CA with 5 years of experience. Kavitha Elangovan, FNP NPI is 1194305649. 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:

5227 PROSPECTORS PKWY
RIVERBANK, CA
ZIP 95367-434
Phone: (209) 589-4881

The NPI 1194305649 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/9/2021 and was last updated on 4/9/2021.

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
1363LF0000XNurse PractitionerFamily95017115CALIFORNIAYes

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: 11/21/2025

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