Ravi Panjabi, M.D., Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

A55600 Issued in CA

Legal business name

RAVI PANJABI, M.D., INC.

Practice address

19850 Lake Chabot Rd
Castro Valley, CA 94546-4002

Phone

(510) 582-8555

NPI assigned

Feb 23, 2010

Organization subpart

Yes

Parent organization

RAVI PANJABI, M.D., INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ravi Panjabi, M.D.NPI 1225024219

Title

Medical Director

Phone

(510) 582-8555

Specialties & licenses 1

Addresses

Other names 1

• Advanced Pain Management & Rehab Medical Group, Inc. Doing business as

Part of

Ravi Panjabi Inc

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ravi S Panjabi, MD

  • Specialist
  • Castro Valley, CA
  • NPI 1225024219
  NPD Authorized official
• Karen Marie Manitsas, MPA-C

  • Medical Physician Assistant
  • Santa Clara, CA
  • NPI 1407902802
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1003138694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771735",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19850 LAKE CHABOT RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464002",
            "telephone_number": "510-582-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI PANJABI, M.D., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAVI PANJABI, M.D., INC.",
        "enumeration_date": "2010-02-23",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "PANJABI",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "510-582-8555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A55600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pain Management & Rehab Medical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manizha Farhat Rasoli
• Waslat Rasoli
• David Paul Rathmann, MA, CCC-SLP
• Raveendra Nadaraja, M.D., F.a.C.S., Inc.
• Ravi Panjabi Inc
• Sara Razaqi, MD
• Sudhir Reddy, PHARM D
• Redwood Assisted Living LLC
• Redwood Convalescent Hospital, Inc
• Redwood Electrotherapy, LLC

• Non-Pharmacy Dispensing Site in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.