Provider Demographics
NPI:1780879841
Name:DR. C.A. NAVA, P.S.C.
Entity type:Organization
Organization Name:DR. C.A. NAVA, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHESTER
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:NAVA
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPM
Authorized Official - Phone:502-649-0281
Mailing Address - Street 1:4119 BROWNS LN
Mailing Address - Street 2:STE 2B
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-1500
Mailing Address - Country:US
Mailing Address - Phone:502-454-7766
Mailing Address - Fax:502-451-9291
Practice Address - Street 1:1130 GILLILAND RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-4034
Practice Address - Country:US
Practice Address - Phone:502-649-0281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY00174261QP1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0054Medicare PIN
KYT54187Medicare UPIN