Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609485044 Individual Practitioner Male Practitioner

Dr. Gajan Tristan Mathivanan , PharmD

Pharmacist • Angels Camp, CA

Professional Overview & Biography Verified Profile Summary

Dr. Gajan Mathivanan, PharmD is a registered healthcare professional specializing in Pharmacist in Angels Camp, CA. Practice services are available at 230 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

230 S Main St

Angels Camp, CA 952229359

Telephone 2097364623
Associated Practice Facility / Clinic
🏢 Thrifty Payless Inc Facility NPI 1982713327

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Angels Camp, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Angels Camp, CA (33119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-30
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 82486

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1104454388

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

NPI 1144532482

Registered Pharmacist

NPI 1487345310

VACCINATINGTECH

Camille Young , RN

Registered Nurse - Community Health

NPI 1760190151

Registered Nurse

Natalie Tibio

Pharmacist

NPI 1922391838
Nancy Thai

Pharmacist

NPI 1932764370

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2020

Registered at 230 S MAIN ST, ANGELS CAMP, CA 952229359 (Tel: 2097364623)

📍
Updated Business Mailing Address July 30, 2020

Registered at 0756 WILLIOW SPRINGS DR, SOULSBYVILLE, CA 95372 (Tel: 3146040368)

👤
Provider Name / Credentials Updated July 30, 2020

Recorded as GAJAN MATHIVANAN, PHARM.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2020

Pharmacist (License #82486 in CA)

🟢
Initial NPI Registration & Enumeration July 30, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Gajan Mathivanan. Be the first to share your experience!

Sign in to leave a review for Dr. Gajan Mathivanan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1609485044
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2020
Last Update: July 30, 2020
Sole Proprietor: No

Mailing Address

0756 Williow Springs Dr

Soulsbyville, CA 95372

Phone: 3146040368

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.