Provider Demographics
NPI:1972719763
Name:PINNACLE HEALTHCARE
Entity Type:Organization
Organization Name:PINNACLE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:NERVINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-770-0444
Mailing Address - Street 1:2 ROSSI CIR
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93907-2370
Mailing Address - Country:US
Mailing Address - Phone:831-770-0444
Mailing Address - Fax:831-770-0445
Practice Address - Street 1:4 ROSSI CIR
Practice Address - Street 2:141
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93907-2362
Practice Address - Country:US
Practice Address - Phone:831-757-4444
Practice Address - Fax:831-757-4419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36694207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA36694OtherLICENSE