Organization Active NPI

Bay Area Anesthesia Associates

  • Pain Medicine (Anesthesiology) Physician
  • Stockton, CA
National Provider Identifier
1346407434
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
BAY AREA ANESTHESIA ASSOCIATES
Practice address
4512 Feather River Dr
Suite C
Stockton, CA 95219-6563
Phone
(209) 952-5538
Fax
(650) 360-2807
NPI assigned
May 17, 2008
Last updated
Feb 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Authorized official

Name
Dr. Ravi R Pankhaniya, MDNPI 1992902670
Title
Chief Executive Officer
Phone
(415) 506-7284

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

4512 Feather River Dr
Suite C
Stockton, CA 95219-6563

Mailing address

1157 Scotland Dr
Cupertino, CA 95014-5061
Phone (415) 506-7284

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110131000707 CA Part B Supplier - Clinic/Group Practice 0547449951 Receives reassigned benefits from 1 practitioner
Practice locations: Stockton, CA

National Provider Directory

National Provider Directory

Locations

2027 Grand Canal Blvd
Ste 33
Stockton, CA 95207
Phone (209) 207-0555

4512 Feather River Dr
Ste B
Stockton, CA 95219

4512 Feather River Dr
Ste C
Stockton, CA 95219
Phone (209) 476-8589

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1210982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1346407434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 SCOTLAND DR",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145061",
            "telephone_number": "415-506-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4512 FEATHER RIVER DR",
            "address_2": "SUITE C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952196563",
            "telephone_number": "209-952-5538",
            "fax_number": "650-360-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA ANESTHESIA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-17",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "PANKHANIYA",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "415-506-7284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.