Nandakumar Ravi MD a Professional Medical Corporation

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A64007 Issued in CA

Legal business name

NANDAKUMAR RAVI MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

9870 Brimhall Rd Unit 100
Bakersfield, CA 93312-2798

Phone

(661) 588-8725

Fax

(661) 588-8749

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nandakumar Ravi, MDNPI 1770554321

Title

Owner

Phone

(661) 588-8725

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AMERICAN DIGESTIVE LIVER AND NUTRITIONAL DISEASE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Nandakumar Ravi, M.D.

  • Gastroenterology Physician
  • Bakersfield, CA
  • NPI 1770554321
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1063454692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22470",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933902470",
            "telephone_number": "661-588-8725",
            "fax_number": "661-588-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9870 BRIMHALL RD UNIT 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122798",
            "telephone_number": "661-588-8725",
            "fax_number": "661-588-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANDAKUMAR RAVI MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "RAVI",
        "authorized_official_first_name": "NANDAKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-588-8725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A64007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A640070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMERICAN DIGESTIVE LIVER AND NUTRITIONAL DISEASE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christian Brock Nakanishi
• Jeffrey George Nalesnik, M.D.
• Peter Nalos, MD
• Diana Nam
• Hyun Joo Nam, CRNA
• Anoop Nandanoor, DDS
• Thiagarajan Nandhagopal, MD
• Napd
• Kyle Aubrey Mae Galvez Napenas, RN
• Vishal Kumar Narang, MD

• Gastroenterology Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.