DR. SACHO RADE KONDOVSKI DO NPI 1780678706

NPI Information

NPI: 1780678706
Provider Name: DR. SACHO RADE KONDOVSKI, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
28780 SINGLE OAK DR
SUITE 160
TEMECULA, CA
ZIP 92590
Phone: (951) 676-4193
Get Directions

DR. Sacho Rade Kondovski, DO is a family medicine in Temecula, 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. Sacho Rade Kondovski, DO NPI is 1780678706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

28780 SINGLE OAK DR
SUITE 160
TEMECULA, CA
ZIP 92590-625
Phone: (951) 676-4193
Fax: (951) 719-1469

The NPI 1780678706 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 9/6/2005 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
1	207Q00000X	Family Medicine		20A6077	CALIFORNIA	Yes

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
1	BK2783377	OTHER	CALIFORNIA	DEA
2	20A6077	OTHER	CALIFORNIA	LICENSE
3	F60907	MEDICARE UPIN	CALIFORNIA

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

NPI Synchronization or Removal

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