PDM OF AMERICA NPI 1083758767

Preferred Provider Organization in Roseville, CA

NPI 1083758767 Organization Preferred Provider Organization

About PDM OF AMERICA

Pdm Of America is a provider established in Roseville, California specializing in preferred provider organization. The NPI number of Pdm Of America is 1083758767 and was assigned on February 2007. The practitioner's primary taxonomy code is 305R00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Eric Rideout (Evp)

NPI

1083758767

Provider NamePDM OF AMERICA
Provider Location Address2241 LAVA RIDGE CT ROSEVILLE, CA 95661
Provider Mailing Address2241 LAVA RIDGE CT ROSEVILLE, CA 95661
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-16-2007
Last Update Date11-12-2008


Primary Taxonomy

Taxonomy Code305R00000X
ClassificationPreferred Provider Organization
TypeManaged Care Organizations
Taxonomy DescriptionA group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Business Address

PDM OF AMERICA
2241 LAVA RIDGE CT
ROSEVILLE, CA
ZIP 95661
Phone: (916) 782-2200

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Mailing Address

PDM OF AMERICA
2241 LAVA RIDGE CT
ROSEVILLE, CA
ZIP 95661
Phone:



Authorized Official

Authorized Official Name ERIC RIDEOUT
Authorized Official TitleEVP
Authorized Official Phone(916) 782-2200

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013424712 VENESSA PADILLA
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 915-2965
1568979219 NATASHA MARJANKA WHITEHAIR
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 915-2965
1558878298 BRITNEY BAKER
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 915-2965
1386151090 CHELSEA SANDERS
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 915-2965
1306353990 SHELBIE KIERSTEN BAKER
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 918-2965
1134636756 KATRINA MARIE GRAY
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 915-2965
1326555814 JOHN WILLIAM MASON
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 918-2965
1295242766 LARISA DARMOGRAY
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 918-2965
1639686108 SOM SERT
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 918-2965
1861900417MRS. ASHLEY MARIE TRUESDELL
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 918-2965
1144737859 OLIVIA KATHLEEN OWENS
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 915-2965
1871078576MS. ANA ROSE ELIZABETH SIZER
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 918-2965
1902381676 HANNAH TRAN
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 918-2965
1679043863 OLEG PAVLOVICH GUTIEV
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 918-2965
1710457742 STEFANY FELIX
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 918-2965
1609349323 VANESSA MULGADO
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 918-2965
1124591854 MILANA DARMOGRAY
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 918-2965
1396202909 HIND HUSSEIN
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 918-2965
1255899464 MARGARITA PAVLOVNA CHEBUKINA
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 918-2965
1639733611 MILITZA NOEMI NAJERA-ORELLANA
Individual
Behavior Technician2241 LAVA RIDGE CT
ROSEVILLE, CA 95661
(916) 918-2965

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.