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NAVIN MALLAVARAM, M.D., INC.
NPI 1164708582
Pain Medicine - Interventional Pain Medicine in Pleasanton, CA

Active since October 31, 2011CLIA 05D2254361 · Waiver
5924 STONERIDGE DR, SUITE 206, PLEASANTON, CA 94588(925) 469-9120 Get Directions Write a Review

NPPES record last updated: December 11, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Navin Mallavaram, M.d., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAVIN MALLAVARAM, M.D., INC. (NPI 1164708582) is a healthcare organization registered as an interventional pain medicine in Pleasanton, California and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through March 1, 2028 and lists Navin Mallavaram, President, as its authorized official.

NPPES Registry Identity

NPI1164708582
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameNAVIN MALLAVARAM, M.D., INC.
Location Address5924 STONERIDGE DR, SUITE 206Pleasanton, CA 94588-2887
Mailing Address5924 Stoneridge Dr, Suite 206Pleasanton, CA 94588-2887 · (925) 469-9120
Phone(925) 469-9120
Organization SubpartNo
Authorized OfficialNavin MallavaramPresident · (925) 469-9120
Enumeration DateOctober 31, 2011
Last NPPES UpdateDecember 11, 2013
✔ NPI 1164708582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in CA · A104871
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
5924 STONERIDGE DR, Pleasanton, CA 94588
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Navin Mallavaram, M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Navin Mallavaram, M.D., Inc., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Navin Mallavaram, M.D.
Pain Management
NPI 1962677724
7031 KOLL CENTER PKWY STE 100
Pleasanton, CA 94566
(925) 469-9120
✔ PECOS✔ Accepts Medicare2.2 mi
Susannah Feder, PSY.D
Clinical Psychologist
NPI 1992822803
4713 1ST ST STE 254
Pleasanton, CA 94566
(925) 989-5300
✔ PECOS✔ Accepts Medicare2.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2254361

Navin Mallavaram MD Inc · Pleasanton, CA
Active · expires Mar 1, 2028
CLIA Number05D2254361
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorNavin Mallavaram
Laboratory Phone(925) 469-9120
Laboratory LocationNavin Mallavaram MD Inc7031 Koll Center Pkwy, Ste 100, Pleasanton, CA 94566
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Navin Mallavaram, M.D., Inc.'s NPI number?

The NPI number for Navin Mallavaram, M.D., Inc. is 1164708582. It was assigned to this organization in the NPPES registry on October 31, 2011.

Where is Navin Mallavaram, M.D., Inc. located?

Navin Mallavaram, M.D., Inc. is located at 5924 Stoneridge Dr Suite 206, Pleasanton, CA 94588. The listed phone number is (925) 469-9120.

What is Navin Mallavaram, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Navin Mallavaram, M.D., Inc. enrolled in Medicare?

Yes. Navin Mallavaram, M.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Navin Mallavaram, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Navin Mallavaram, M.D., Inc., in Clinical Psychologist and Pain Management. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Navin Mallavaram, M.D., Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2254361) is associated with this NPI, valid through March 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Navin Mallavaram, M.D., Inc. was last updated on December 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.