Dr Gajan Tristan Mathivanan, PHARMD - Pharmacist in Angels Camp, CA

Dr Gajan Tristan Mathivanan, PHARMD is a Pharmacist based in Angels Camp, California. Dr Gajan Tristan Mathivanan is licensed to practice in California (license number 82486) and his current practice location is 230 S Main St, Angels Camp, California. He can be reached at his office (for appointments etc.) via phone at (209) 736-4623.

NPI number for Dr Gajan Tristan Mathivanan is 1609485044 and his current mailing address is 0756 Williow Springs Dr, Soulsbyville, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609485044.

Contact Information

Dr Gajan Tristan Mathivanan, PHARMD
230 S Main St,
Angels Camp, CA 95222-9359
(209) 736-4623
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDr Gajan Tristan Mathivanan
GenderMale
SpecialityPharmacist
Location230 S Main St, Angels Camp, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1609485044
  • Provider Enumeration Date: 07/30/2020
  • Last Update Date: 07/30/2020

Medical Identifiers

Medical identifiers for Dr Gajan Tristan Mathivanan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609485044NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 82486 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gajan Tristan Mathivanan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Gajan Tristan Mathivanan, PHARMD
0756 Williow Springs Dr,
Soulsbyville, CA 95372

Ph: (314) 604-0368
Dr Gajan Tristan Mathivanan, PHARMD
230 S Main St,
Angels Camp, CA 95222-9359

Ph: (209) 736-4623

Reviews and Comments


Pharmacist in Angels Camp, CA

Warda Nawaz, PHARMD, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 230 S Main St, Angels Camp, CA 95222
Phone: 209-736-4623    
Dean Stanley Westphalen, R.PH.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 230 S Main St, Angels Camp, CA 95222
Phone: 209-736-4623    Fax: 209-736-9406
Mechele Inez Roessler, VACCINATING TECH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 230 S Main St, Angels Camp, CA 95222
Phone: 209-736-4623    Fax: 209-736-9406
Natalie Tibio,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 230 S Main St, Angels Camp, CA 95222
Phone: 209-736-4623    
Nancy Thai,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 230 S Main St, Angels Camp, CA 95222
Phone: 209-736-4623    
Mr. Michael Allen Zarcone,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 41 North Main St, Angels Camp, CA 95222
Phone: 209-736-1840    Fax: 209-736-1877

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.