Jivitesh Gaurav

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A197556 Issued in CA

Practice address

1313 E Herndon Ave
Fresno, CA 93720-3306

Phone

(559) 450-4637

NPI assigned

Jan 7, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Internal Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Long Term Care Medical Group, IncGroup PAC ID 9032016068, 37 clinicians

American Specialty Physicians Group IncGroup PAC ID 6103198460, 99 clinicians

Golden Valley Health CentersGroup PAC ID 4183527187, 114 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
• Madera Community Hospital Hospital, Madera, CA, CCN 050856
• Sierra View Medical Center Hospital, Porterville, CA, CCN 050261
• Fowler Care Center Nursing home, Fowler, CA, CCN 555918
• Sierra Vista Healthcare Nursing home, Fresno, CA, CCN 555866

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 28)

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.

• American Specialty Physicians Group Inc

  • Emergency Medicine Physician
  • Modesto, CA
  • NPI 1568992923

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Galen Inpatient Physicians, PC

  • Hospitalist Physician
  • Manteca, CA
  • NPI 1689320459
  Medicare reassignment Care Compare group NPD
• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turlock, CA
  • NPI 1356445753
  Medicare reassignment Care Compare group NPD
• Long Term Care Medical Group, Inc

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1356479877
  Medicare reassignment Care Compare group
• Central Valley Critical Care Medicine - a Professional Corporat

  • Critical Care Medicine (Internal Medicine) Physician
  • Hanford, CA
  • NPI 1366829640
  Medicare reassignment
• Galen Inpatient Physicians PC

  • Hospitalist Physician
  • Los Angeles, CA
  • NPI 1205787686
  NPD
• Galen Inpatient Physicians PC

  • Internal Medicine Physician
  • Sonora, CA
  • NPI 1902281009
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1942057963
  NPD
• Golden Valley Health Centers

  • Community/Retail Pharmacy
  • Merced, CA
  • NPI 1093817405
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1487867503
  NPD (past)

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

• Asfc,LLC

  • Skilled Nursing Facility
  • Fresno, CA
  • NPI 1437388238

  Nursing home

  Care Compare affiliation
• Fowler Care Center LLC

  • Skilled Nursing Facility
  • Fowler, CA
  • NPI 1952969024

  Nursing home

  Care Compare affiliation
• Madera Community Hospital

  • General Acute Care Hospital
  • Madera, CA
  • NPI 1669673646
  Care Compare affiliation
• Saint Agnes Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205845567
  Care Compare affiliation
• Sierra View Local Health Care District

  • General Acute Care Hospital
  • Porterville, CA
  • NPI 1639143381
  Care Compare affiliation

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1376204669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 W FOUNTAIN WAY",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224689",
            "telephone_number": "201-936-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-450-4637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2749 Linden Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112085110",
            "country_code": "US",
            "telephone_number": "718-277-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAURAV",
        "first_name": "JIVITESH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-07",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A197556",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A197556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyiah Cyrai Gattison
• Ankit Gauba, MD
• Jennifer M Gault, PAC
• Alok Gaur, MD
• Asha Gaur, MD
• Ila Rashmeesha Gautam
• Richa Gautami
• Patricia Gavel
• Chandler D Gavin
• Charles J Gavin, MD

• Internal Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.