Individual provider Active NPI

Rahul Deepak Golani, BDS

  • Dentist
  • Fresno, CA
National Provider Identifier
1003394511
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
103000 Issued in CA
Practice address
4646 N 1St St
Fresno, CA 93726-0973
Phone
(800) 300-6664
NPI assigned
Aug 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 103000 CA Primary

Addresses

Primary practice location

4646 N 1St St
Fresno, CA 93726-0973

Mailing address

4900 California Ave Ste 400B
Bakersfield, CA 93309-7081
Phone (661) 459-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1003394511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 CALIFORNIA AVE STE 400B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097081",
            "telephone_number": "661-459-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260973",
            "telephone_number": "800-300-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLANI",
        "first_name": "RAHUL",
        "middle_name": "DEEPAK",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.