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GAUTHAM PAVAR
NPI 1417717349
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 19, 2024PECOS Enrolled
1200 N STATE ST RM C4E100, LOS ANGELES, CA 90089(323) 865-1084 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gautham Pavar NPPES

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

GAUTHAM PAVAR (NPI 1417717349) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417717349
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGAUTHAM PAVAR
Location Address1200 N STATE ST RM C4E100Los Angeles, CA 90089-1001
Mailing Address1450 San Pablo St Ste 3600Los Angeles, CA 90033-5332 · (313) 865-1084
Phone(323) 865-1084
Sole ProprietorNo
Enumeration DateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1417717349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE ST RM C4E100, Los Angeles, CA 90089
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gautham Pavar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

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

JORDAN ISAIAH JONES MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST RM C4E100
LOS ANGELES, CA 90089
Los Angeles County (323) 865-1084
DR. HARRISON JOSEPH MA MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST RM C4E100
LOS ANGELES, CA 90089
Los Angeles County (626) 348-7639
DR. AUNDREE HERMAWAN MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST RM C4E100
LOS ANGELES, CA 90089
Los Angeles County (323) 442-7400
DR. WILLIAM NARINYAN DO
Student in an Organized Health Care Education/Training Program
1200 N STATE ST RM C4E100
LOS ANGELES, CA 90089
Los Angeles County (818) 802-0702
KENNETH SCHMITT
Student in an Organized Health Care Education/Training Program
1200 N STATE ST RM C4E100
LOS ANGELES, CA 90089
Los Angeles County (323) 442-7400
JERED ROBERT DAVIDSON
Student in an Organized Health Care Education/Training Program
1200 N STATE ST RM C4E100
LOS ANGELES, CA 90089
Los Angeles County (323) 865-1084
JORENA LIM
Student in an Organized Health Care Education/Training Program
1200 N STATE ST RM C4E100
LOS ANGELES, CA 90089
Los Angeles County (323) 442-7400
DR. SAUMYA SHAH DO
Student in an Organized Health Care Education/Training Program
1200 N STATE ST RM C4E100
LOS ANGELES, CA 90089
Los Angeles County (323) 865-1084

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 Gautham Pavar's NPI number?

The NPI number for Gautham Pavar is 1417717349. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Gautham Pavar located?

Gautham Pavar practices at 1200 N State St Rm C4e100, Los Angeles, CA 90089. The listed phone number is (323) 865-1084.

What is Gautham Pavar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gautham Pavar enrolled in Medicare?

Yes. Gautham Pavar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gautham Pavar was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.