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DR. PRAKASH P DEVASKAR MD
NPI 1912079294
Pediatrics in Fort Bragg, CA

Active since November 14, 2006
700 RIVER DR, FORT BRAGG, CA 95437(707) 961-4631(707) 964-1192 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Prakash P Devaskar Md NPPES

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

DR. PRAKASH P DEVASKAR MD (NPI 1912079294) is an individual pediatrics provider in Fort Bragg, California, licensed in California (CA00A350680) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1912079294
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PRAKASH P DEVASKARCredential: MD
Location Address700 RIVER DRFort Bragg, CA 95437-5403
Mailing Address700 River DrFort Bragg, CA 95437-5403 · (707) 961-4631 · Fax (707) 964-1192
Phone(707) 961-4631
Fax(707) 964-1192
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1912079294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · CA00A350680
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.
700 RIVER DR, Fort Bragg, CA 95437
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Other Identifiers 2

Other00A350680California State Lic
Medicaid68-0326919CA

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.

STEPHEN PINSK, M.D., INC.
Clinical Medical Laboratory
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 829-5883
MICHAEL KENT PHARMD
Pharmacist
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234
NINA LARSEN
Registered Nurse (Emergency)
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234
JOHN A. KERMEN, D.O.
Anesthesiology
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234
DR. MASYN ENRIGHT DO
Family Medicine
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-4631
CHARLES C JENKINS MD
Surgery
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234
PHILLIP CONWELL JR. CRNA
Registered Nurse
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234
JOHN A KERMEN D.O.
Anesthesiology
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234

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 Prakash Devaskar's NPI number?

The NPI number for Prakash Devaskar is 1912079294. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Prakash Devaskar located?

Prakash Devaskar practices at 700 River Dr, Fort Bragg, CA 95437. The listed phone number is (707) 961-4631.

What is Prakash Devaskar'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 Prakash Devaskar was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.