Individual provider Active NPI

John Nadakavukaran, MD

  • Anesthesiology Physician
  • Porterville, CA
National Provider Identifier
1164582177
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A74532 Issued in CA
Practice address
465 W Putnam Ave
Porterville, CA 93257-3320
Phone
(559) 791-4745
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A74532 CA Primary

Addresses

Primary practice location

465 W Putnam Ave
Porterville, CA 93257-3320

Mailing address

2635 G St
Bakersfield, CA 93301-2813
Phone (661) 633-1500

Other identifiers 1

IdentifierTypeStateIssuer
00A745320MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100305000278 CA Practitioner - Anesthesiology 5890830574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comfort Anesthesia Associates IncGroup PAC ID 6002975489, 77 clinicians

Practice addresses (Care Compare)

465 W Putnam Ave
Porterville, CA 93257-3320
Phone (559) 784-1110

Hospital & facility affiliations

  • Adventist Health Delano Hospital, Delano, CA, CCN 050608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A74532CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Anesthesia Associates Inc Anesthesiology CurrentSince Jan 23, 2013 Accepting new patients

Locations

2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1164582177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 G ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012813",
            "telephone_number": "661-633-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573320",
            "telephone_number": "559-791-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADAKAVUKARAN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A74532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A745320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.