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NEVA MONIGATTI-LAKE M.D. NPI 1740477587


NPI Information

NPI: 1740477587
Provider Name: NEVA MONIGATTI-LAKE, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0867567

Address:
300 SIERRA COLLEGE DR
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 273-4376
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NEVA MONIGATTI-LAKE, M.D. is a family medicine in Grass Valley, 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. NEVA MONIGATTI-LAKE, M.D. NPI is 1740477587. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 SIERRA COLLEGE DR
GRASS VALLEY, CA
ZIP 95945-082
Phone: (530) 273-4376
Fax: (530) 273-6426

The provider's authorized official is Chris Evans .
The authorized official title is Office Administrator and has the following contact phone number (530) 273-4376.

The CLIA number assigned to this NPI record is 05D0867567 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/25/2007 and was last updated on 9/25/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineG58310CALIFORNIAYes

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: 4/28/2024

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