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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: August 09, 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

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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY G KAU
Clinic/Center (Dental)
5924 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (925) 400-9978
SUKANYA PILLAI VENKATACHALAM M.D.
Psychiatry & Neurology (Psychiatry)
5924 STONERIDGE DR, SUITE 210
PLEASANTON, CA 94588
Alameda County (925) 944-1733
DR. MARTA BAIRD D.D.S., M.S.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
5924 STONERIDGE DR, SUITE 203
PLEASANTON, CA 94588
Alameda County (925) 298-4400
PAIN MEDICINE CONSULTANTS, INC.
Anesthesiology (Pain Medicine)
5924 STONERIDGE DR, SUITE 102
PLEASANTON, CA 94588
Alameda County (925) 287-1256
SENECA SURGICAL, LLC
Clinic/Center (Ambulatory Surgical)
5924 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (630) 408-2992
EUN-JU PARK
Acupuncturist
5924 STONERIDGE DR, SUITE 204A
PLEASANTON, CA 94588
Alameda County (925) 918-2649
ACCURA IMAGING, INC
Radiologic Technologist
5924 STONERIDGE DR, SUITE 205
PLEASANTON, CA 94588
Alameda County (925) 529-6245
SHARMILA ACHARYA PT
Physical Therapist
5924 STONERIDGE DR, SUITE 206
PLEASANTON, CA 94588
Alameda County (917) 593-9294

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.

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.