Individual provider Active NPI

Riken Nathu

  • Psychiatry Physician
  • Gainesville, FL
National Provider Identifier
1306582804
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A208761 Issued in CA
Practice address
4101 NW 89TH Blvd RM 1788
Gainesville, FL 32606-3813
Phone
(352) 265-2862
NPI assigned
May 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A208761 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X ME180547 FL

Addresses

Primary practice location

4101 NW 89TH Blvd RM 1788
Gainesville, FL 32606-3813

Mailing address

4101 NW 89TH Blvd RM 1788
Gainesville, FL 32606-3813

Other practice location 1

516 W Shaw Ave Ste 200
Fresno, CA 93704-2515
Phone (833) 277-0071

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
I20260528004731 CA Practitioner - Psychiatry 4587030200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Florida College of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3100 Oak Rd
Suite 270
Walnut Creek, CA 94597-2078

3100 Oak Rd
Suite 270
Walnut Creek, CA 94597-7737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1651968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1306582804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 NW 89TH BLVD RM 1788",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326063813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NW 89TH BLVD RM 1788",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326063813",
            "telephone_number": "352-265-2862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 W Shaw Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937042515",
            "country_code": "US",
            "telephone_number": "833-277-0071",
            "fax_number": "925-944-9709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATHU",
        "first_name": "RIKEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-08",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A208761",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME180547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.