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CAROL JOY PROVAN
NPI 1780736041
Pediatrics in Redwood City, CA

Active since January 17, 2007
2710 MIDDLEFIELD RD, REDWOOD CITY, CA 94063(650) 573-2222 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carol Joy Provan NPPES

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

CAROL JOY PROVAN (NPI 1780736041) is an individual pediatrics provider in Redwood City, California, licensed in California (A25599) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1780736041
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAROL JOY PROVAN
Location Address2710 MIDDLEFIELD RDRedwood City, CA 94063-3404
Mailing Address2710 Middlefield Rd, Fair Oaks Childrens ClinicRedwood City, CA 94063 · (650) 573-2222
Phone(650) 573-2222
Sole ProprietorNo
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780736041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A25599
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2710 MIDDLEFIELD RD, Redwood City, CA 94063
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Other Identifiers 2

Medicaid00A255990CA
Medicare UPINA24508CA

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.

DR. ALISON LAURA PACHYNSKI MD MPH
Internal Medicine
2710 MIDDLEFIELD RD
REDWOOD CITY, CA 94063
San Mateo County (650) 364-6010
JEANETTE AVILES MD
Internal Medicine
2710 MIDDLEFIELD RD
REDWOOD CITY, CA 94063
San Mateo County (650) 573-2222
GIZELLA SHEILA LAKSANA M.D.
Pediatrics
2710 MIDDLEFIELD RD
REDWOOD CITY, CA 94063
San Mateo County (650) 578-7141
GABRIELA VALENCIA FNP
Nurse Practitioner (Family)
2710 MIDDLEFIELD RD
REDWOOD CITY, CA 94063
San Mateo County (650) 578-7141
COUNTY OF SAN MATEO
Clinic/Center (Federally Qualified Health Center (FQHC))
2710 MIDDLEFIELD RD
REDWOOD CITY, CA 94063
San Mateo County (650) 599-3890
DR. SONA AGGARWAL MD
Internal Medicine
2710 MIDDLEFIELD RD
REDWOOD CITY, CA 94063
San Mateo County (650) 366-6010
MARY LORETTA DAVILA R.D. IBCLC
Dietitian, Registered
2710 MIDDLEFIELD RD
REDWOOD CITY, CA 94063
San Mateo County (650) 578-7141
MS. MARY GRACE LEONG RD, CDE
Dietitian, Registered
2710 MIDDLEFIELD RD
REDWOOD CITY, CA 94063
San Mateo County (650) 578-7141

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 Carol Provan's NPI number?

The NPI number for Carol Provan is 1780736041. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Carol Provan located?

Carol Provan practices at 2710 Middlefield Rd, Redwood City, CA 94063. The listed phone number is (650) 573-2222.

What is Carol Provan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Carol Provan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.