Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912079294 Individual Practitioner Male Practitioner

Dr. Prakash P Devaskar , MD

Pediatrics • Fort Bragg, CA

Professional Overview & Biography Verified Profile Summary

Dr. Prakash Devaskar, MD is a registered healthcare professional specializing in Pediatrics in Fort Bragg, CA. Practice services are available at 700 RIVER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

700 River Dr

Fort Bragg, CA 954375403

Telephone 7079614631
Fax 7079641192
Associated Practice Facility / Clinic
🏢 John A. Kermen, D.o. Facility NPI 1134179302

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fort Bragg, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Fort Bragg, CA (9612 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA CA00A350680

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
68-0326919 (CA)
Commercial Insurance / Payer ID California State Lic
00A350680

Practice Associates & Co-Workers

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

20 Associated Practitioners
NPI 1013959915

Doctor of Medicine (M.D.)

Melinda Regan

Nurse Practitioner - Family

NPI 1043000284
Dr. James Sandys , MD

Family Medicine

NPI 1043381072

Doctor of Medicine (M.D.)

Dr. James Swallow , MD

Internal Medicine

NPI 1114067287

Doctor of Medicine (M.D.)

Sasha Graham , NP

Nurse Practitioner

NPI 1124127600

Nurse Practitioner

Dr. Masyn Enright , DO

Family Medicine

NPI 1184387201

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 01, 2012

Registered at 700 RIVER DR, FORT BRAGG, CA 954375403 (Tel: 7079614631)

📍
Updated Business Mailing Address October 01, 2012

Registered at 700 RIVER DR, FORT BRAGG, CA 954375403 (Tel: 7079614631)

👤
Provider Name / Credentials Updated October 01, 2012

Recorded as PRAKASH DEVASKAR, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2012

Pediatrics (License #CA00A350680 in CA)

🟢
Initial NPI Registration & Enumeration November 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912079294
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2006
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

700 River Dr

Fort Bragg, CA 954375403

Phone: 7079614631

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.