Carmichael Pediatric Medical Group, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A56390 Issued in CA

Legal business name

CARMICHAEL PEDIATRIC MEDICAL GROUP, INC.

Practice address

5841 Jameson CT
#1
Carmichael, CA 95608-0895

Phone

(916) 485-9800

Fax

(916) 485-9810

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ravinder S Khaira, M.D.NPI 1902842354

Title

President

Phone

(916) 485-9800

Specialties & licenses 1

Addresses

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

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.

• Ravinder Singh Khaira, MD

  • Pediatrics Physician
  • Sacramento, CA
  • NPI 1902842354
  NPD (past) Authorized official

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1407032816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 JAMESON CT",
            "address_2": "#1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080895",
            "telephone_number": "916-485-9800",
            "fax_number": "916-485-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 JAMESON CT",
            "address_2": "#1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080895",
            "telephone_number": "916-485-9800",
            "fax_number": "916-485-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMICHAEL PEDIATRIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "KHAIRA",
        "authorized_official_first_name": "RAVINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-485-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A56390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harlee T Carlson
• Wendy Carly
• Carmichael Care Inc. (Rosewood Rehabilitation)
• Carmichael Disc Center LLC
• Carmichael Estates LLC
• Carmichael Postacute Care LLC
• Carmichael Trauma Medical Group, Inc
• Peter Caroff, D.C.
• Caron a Houston, MD, Inc (House Calls of Carmichael)
• Nathaniel Carpio, NP-C

• Pediatrics Physician in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.