NPIMap

Individual provider Active NPI

Rihan Javid, D.O.

  • Psychiatry Physician
  • Stockton, CA
National Provider Identifier
1275929895
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A16536 Issued in CA
Practice address
1805 N California St Ste 201
Stockton, CA 95204-6032
Phone
(209) 645-4005
Fax
(209) 645-6344
NPI assigned
Apr 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A16536 CA Primary

Addresses

Primary practice location

1805 N California St Ste 201
Stockton, CA 95204-6032

Mailing address

1805 N California St Ste 201
Stockton, CA 95204-6032
Phone (209) 645-4005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190501001769 CA Practitioner - Psychiatry 6901148519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Touro University Medical GroupGroup PAC ID 5799119541, 23 clinicians

Practice addresses (Care Compare)

1805 N California St
Suite 201
Stockton, CA 95204-6032
Phone (209) 943-2000

Hospital & facility affiliations

  • St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084
  • Adventist Health Lodi Memorial Hospital, Lodi, CA, CCN 050336
  • San Joaquin General Hospital Hospital, French Camp, CA, CCN 050167
  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118
  • Dameron Hospital Hospital, Stockton, CA, CCN 050122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A16536CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Port City Operating Company, LLC CurrentSince May 2, 2023 Accepting new patients
Touro University Medical Group Psychiatry CurrentSince Aug 1, 2024 Accepting new patients
Thrive Healthcare Solutions Current Accepting new patients
Thrive Healthcare Solutions Psychiatry Current Accepting new patients
Port City Operating Company, LLC Current Accepting new patients
Port City Operating Company, LLC CurrentSince May 2, 2023 Accepting new patients
Thrive Mental Health Psychiatry Current Accepting new patients

Locations

2510 N California St
Stockton, CA 95204
Phone (209) 461-2000

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1805 N California St
Ste 201
Stockton, CA 95204
Phone (209) 479-3900

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e0d732aa-1d5c-42bf-b672-8fabe3feb437/

Organizations & group practices 7

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 6

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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1275929895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA ST STE 201",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046032",
            "telephone_number": "209-645-4005",
            "fax_number": "209-645-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA ST STE 201",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046032",
            "telephone_number": "209-645-4005",
            "fax_number": "209-645-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVID",
        "first_name": "RIHAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A16536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.