Provider Demographics
NPI:1003992470
Name:NGATUVAI, TAUAINA JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:TAUAINA
Middle Name:JAMES
Last Name:NGATUVAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 N. 1100 E.
Mailing Address - Street 2:STE. A
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2054
Mailing Address - Country:US
Mailing Address - Phone:801-855-3844
Mailing Address - Fax:801-855-3854
Practice Address - Street 1:680 E. MAIN ST.
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-2241
Practice Address - Country:US
Practice Address - Phone:801-768-1699
Practice Address - Fax:801-768-4526
Is Sole Proprietor?:No
Enumeration Date:2006-10-28
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6263334-1205207Q00000X
UT62633341205207Q00000X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT000063445Medicare PIN