Organization Active NPI

Ravi S Shankar MD Professional Corp

  • Pulmonary Disease Physician
  • Lancaster, CA
National Provider Identifier
1326139932
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A64181 Issued in CA
Legal business name
RAVI S SHANKAR MD PROFESSIONAL CORP
Practice address
44215 15TH St W Ste 115
Lancaster, CA 93534-5503
Phone
(661) 948-8000
Fax
(888) 289-4058
NPI assigned
Sep 27, 2006
Last updated
Oct 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Ravi S Shankar, M.D.NPI 1093806754
Title
Owner/Physician
Phone
(661) 948-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A64181 CA Primary

Addresses

Primary practice location

44215 15TH St W Ste 115
Lancaster, CA 93534-5503

Mailing address

44215 15TH St W Ste 115
Lancaster, CA 93534-5503
Phone (661) 948-8000

Other practice location 1

44215 15th St W
Suite 311
Lancaster, CA 93534-4014
Phone (661) 948-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070131000583 CA Part B Supplier - Clinic/Group Practice 6204838402 Receives reassigned benefits from 3 practitioners
Practice locations: Lancaster, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1071297Ravi Shankar MD44215 15TH St West, Ste 105, Wilsona Gardens, CA 93534ComplianceJun 23, 2027

National Provider Directory

National Provider Directory

Locations

44215 15th St W
Ste 109
Lancaster, CA 93534
Phone (661) 948-5723

44215 15th St W
Ste 115
Lancaster, CA 93534
Phone (661) 948-8000

627 W Avenue Q
Ste C
Palmdale, CA 93551
Phone (661) 272-0402

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1326139932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44215 15TH ST W STE 115",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345503",
            "telephone_number": "661-948-8000",
            "fax_number": "888-289-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44215 15TH ST W STE 115",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345503",
            "telephone_number": "661-948-8000",
            "fax_number": "888-289-4058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44215 15th St W",
            "address_2": "SUITE 311",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935344014",
            "country_code": "US",
            "telephone_number": "661-948-8000",
            "fax_number": "661-948-8029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAVI S SHANKAR MD PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "SHANKAR",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "661-948-8000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A64181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.