Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Srimanasi Javvaji, MD

Individual provider Dermatology Physician · NPI 1750630125

Srimanasi Javvaji, MD is a Dermatology in Yuma, Arizona. Qualified in 2012, 14 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Arizona, California, Georgia and Illinois and 5 more.

Years since qualifying
14
Licensed in
AZ, CA, GA, IL, MN, MO
In the registry since
2012
Specialties on file
10
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 S 8th Ave
Yuma, AZ 85364-7118
Phone: (928) 788-0785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 285 N El Camino Real Ste 117, Encinitas, CA 92024-5384 — (760) 633-1000
  • 1934 Via Ctr Ste B, Vista, CA 92081-6056 — (760) 295-2299
  • 2 Carlson Pkwy N Ste 100, Plymouth, MN 55447-4467 — (952) 222-9429
  • 752 N High Point Rd, Madison, WI 53717-2236 — (608) 824-4000

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence R3351 (TX)
Dermatology Physician Taxonomy 207N00000X · Licence 3116-320 (WI)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence A141780 (CA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 94587 (GA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 2023009444 (MO)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 68538 (AZ)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence R3351 (TX)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 74511 (MN)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 35.147986 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125.061605 (IL)

Record details

NPI number1750630125
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2012
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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