DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREGORY AVETISOV, DO

Active

General Practice · LINCOLN, CA

Registration Details

NPI Number
1679917280
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2013 (13.023642800418 yrs)
Last Updated
Jan 28, 2026
License
20A22510 (CA)

Practice Information

Address
2641 MILLER RUN LN
LINCOLN, CA, 956487545
Browse CA providers · Browse ZIP 95648
Phone
2097546262
Primary Specialty
General Practice
208D00000X

Other General Practice Providers in LINCOLN, CA

Name Credential NPI
DR. ZABIHULLAH SHIRZOI WARDAK M.D. 1811249790
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.