IndividualActive
Collins Pivadga
NPI 1346077054 · Other Specialist/Technologist · Travis Afb, CA
Provider details
- NPI number
- 1346077054
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
101 Bodin Cir Bldg 777
Travis Afb, CA 94535-1809
Phone: (707) 423-7899
Approximate (ZIP-level) locationGet directions
Mailing address
2780 N Texas St Apt 257
Fairfield, CA 94533-7307
Registry dates
- Enumerated
- 2024-09-17
- Last updated
- 2024-09-17
- Certified
- 2024-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.