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Deactivated NPI 1598180341 Deactivated / Inactive NPI Female Practitioner

Neta Duvdevany

Pediatrics • Placerville, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Neta Duvdevany has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 03, 2014
NPI Deactivation Date May 25, 2021
Total Practice Duration ~7 Years of Practice (2014 – 2021)

Professional Overview & Biography Verified Profile Summary

Neta Duvdevany was a registered Pediatrics practicing in Placerville, CA. Throughout an active medical career spanning 7 years, Neta Duvdevany provided care at the practice location at 5168 HONPIE RD until profile deactivation on 2021-05-25.

Practice Location & Contact Primary Location

Practice Address

5168 Honpie Rd

Placerville, CA 956678682

Telephone 5303874975
Associated Practice Facility / Clinic
🏢 Shingle Springs Rancheria Facility NPI 1245356674

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Placerville, CA

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

Practicing in Placerville, 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

CMS Verified: 2023-09-20
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA C137556

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NH 16474

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.

Secondary Practice Locations

2800 N California St Ste 14

Stockton, CA 952043759

Phone: 2094642605

Practice Associates & Co-Workers

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

21 Associated Practitioners
NPI 1205866613

Doctor of Medicine (M.D.)

Andrina Jensen , AMFT

Marriage & Family Therapist

NPI 1336774694

Associate Marriage and Family Therapist

Mary Quilici

Clinic/Center - Dental

NPI 1346049731
Roba Ramadan

Student in an Organized Health Care Education/Training Program

NPI 1346169737
Vaughna Dusek , FNP

Family Medicine

NPI 1376758359

Family Nurse Practitioner

Dr. Nathan Chronister , DDS

Dentist - General Practice

NPI 1396122974

Doctor of Dental Surgery

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location September 20, 2023

Registered at 5168 HONPIE RD, PLACERVILLE, CA 956678682 (Tel: 5303874975)

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2021

Pediatrics (License #16474 in NH)

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Updated Practice Location July 12, 2021

Registered at 2800 N CALIFORNIA ST STE 14, STOCKTON, CA 952043759 (Tel: 2094642605)

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Updated Business Mailing Address July 12, 2021

Registered at 2800 N CALIFORNIA ST STE 14, STOCKTON, CA 952043759 (Tel: 2094642605)

👤
Provider Name / Credentials Updated July 12, 2021

Recorded as NETA DUVDEVANY

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2021

Pediatrics (License #C137556 in CA)

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NPI Profile Deactivated May 25, 2021

Record deactivated on May 25, 2021

NPI Profile Active March 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 03, 2014

Registered at 724 N MAIN ST, LACONIA, NH 032462742 (Tel: 6035245151)

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Updated Business Mailing Address March 03, 2014

Registered at PO BOX 1327, LACONIA, NH 032471327 (Tel: 6035243211)

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Provider Name / Credentials Updated March 03, 2014

Recorded as NETA DUVDEVANY

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2014

Pediatrics (License #16474 in NH)

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Initial NPI Registration & Enumeration March 03, 2014

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: 1598180341
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 03, 2014
Last Update: September 20, 2023
Deactivation Date: May 25, 2021
Sole Proprietor: No

Mailing Address

2800 N California St Ste 14

Stockton, CA 952043759

Phone: 2094642605

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.