MEDICARE: BEVERLY B VARUGHESE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	66006	CA

General Provider Information

NPI Number	:	1356001945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLY B VARUGHESE PA-C

Provider Business Mailing Address
First Line	:	3400 DATA DR
Second Line	:
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95670-7956
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8120 TIMBERLAKE WAY STE 101
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-5413
Country	:	US
Telephone Number	:	916-681-6159
Fax Number	:	916-689-4095

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2021
Last Update Date	:	03/30/2026

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Directions to “ BEVERLY B VARUGHESE PA-C” Practice Location

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