MISS EMILY LOUISE PAVLISIN
NPI 1578010658
Student in an Organized Health Care Education/Training Program in West Covina, CA
About Miss Emily Louise Pavlisin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS EMILY LOUISE PAVLISIN (NPI 1578010658) is an individual student in an organized health care education/training program in West Covina, California and active in the NPI registry since September 2016. She has opted out of Medicare through October 1, 2026.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Miss Emily Louise Pavlisin has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST COVINA, CA 91790
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 Emily Pavlisin's NPI number?
The NPI number for Emily Pavlisin is 1578010658. It was assigned to this individual provider in the NPPES registry on September 6, 2016.
Where is Emily Pavlisin located?
Emily Pavlisin practices at 1215 W West Covina Pkwy, West Covina, CA 91790. The listed phone number is (626) 974-0770.
What is Emily Pavlisin's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Emily Pavlisin enrolled in Medicare?
No. Emily Pavlisin has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Emily Pavlisin was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Miss Emily Louise Pavlisin · NPI 1578010658
Student in an Organized Health Care Education/Training Program provider in West Covina, California. Individual provider, active in the CMS NPPES registry since September 6, 2016.
## Identity
- **NPI:** 1578010658 (Entity type: Individual)
- **Enumerated:** September 6, 2016
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1215 W WEST COVINA PKWY, West Covina, CA 91790-2815
- **Phone:** (626) 974-0770
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 1, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** January 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1578010658) · Data from the CMS NPPES public registry.