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JACK PAVICH
NPI 1467825703
Radiologic Technologist - Radiography in Ben Lomond, CA

Active since November 09, 2015
9411 SUNNYSIDE AVE, BEN LOMOND, CA 95005(831) 252-1114 Get Directions Write a Review

NPPES record last updated: November 9, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jack Pavich NPPES

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

JACK PAVICH (NPI 1467825703) is an individual radiography provider in Ben Lomond, California, licensed in California (RHF00105782) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1467825703
Entity TypeIndividualMale
Primary Taxonomy2471C3402X
Provider Legal NameJACK PAVICH
Location Address9411 SUNNYSIDE AVEBen Lomond, CA 95005-9345
Mailing Address9411 Sunnyside AveBen Lomond, CA 95005-9345 · (831) 252-1114
Phone(831) 252-1114
Sole ProprietorYes
Enumeration DateNovember 9, 2015
✔ NPI 1467825703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic Technologist · RadiographyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471C3402X
License✔ Licensed in CA · RHF00105782
Definition
A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.
9411 SUNNYSIDE AVE, Ben Lomond, CA 95005
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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 Jack Pavich's NPI number?

The NPI number for Jack Pavich is 1467825703. It was assigned to this individual provider in the NPPES registry on November 9, 2015.

Where is Jack Pavich located?

Jack Pavich practices at 9411 Sunnyside Ave, Ben Lomond, CA 95005. The listed phone number is (831) 252-1114.

What is Jack Pavich's specialty?

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Radiography, with taxonomy code 2471C3402X.

When was this NPI record last updated?

The NPPES record for Jack Pavich was last updated on November 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.