MR. IAN DANIEL PRIMAVERA PA-C NPI 1831441237

NPI Information

NPI: 1831441237
Provider Name: MR. IAN DANIEL PRIMAVERA, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: NEIGHBORHOOD OUTREACH ACCESS TO HEALTH

PECOS Registration: Yes

Address:
2741 VISTA WAY STE 111
OCEANSIDE, CA
ZIP 92054
Phone: (760) 757-0224
Get Directions

MR. Ian Daniel Primavera, PA-C is a medical physician assistant in Oceanside, CA with 12 years of experience. MR. Ian Daniel Primavera, PA-C NPI is 1831441237. 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:

2741 VISTA WAY STE 111
OCEANSIDE, CA
ZIP 92054-373
Phone: (760) 757-0224

The NPI 1831441237 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 10/9/2012 and was last updated on 10/9/2012.

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	363AM0700X	Physician Assistant	Medical	PA22615	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »