Individual provider Active NPI

Ravi K Goklaney, MD

  • Psychiatry Physician
  • Bakersfield, CA
National Provider Identifier
1437212636
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A44584 Issued in CA
Practice address
3409 Calloway Dr
Suite #601
Bakersfield, CA 93312-2528
Phone
(661) 589-1200
Fax
(661) 589-7200
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A44584 CA Primary

Addresses

Primary practice location

3409 Calloway Dr
Suite #601
Bakersfield, CA 93312-2528

Mailing address

3409 Calloway Dr
Suite #601
Bakersfield, CA 93312-2528
Phone (661) 589-1200

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
I20080821000417 CA Practitioner - Psychiatry 5294800512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Omni Family HealthGroup PAC ID 9234176363, shared by 50 NPIs, 93 clinicians

Practice addresses (Care Compare)

1014 Calloway Dr
BLDG F
Bakersfield, CA 93312-6337
Phone (866) 707-6664

1022 Calloway Dr
Bakersfield, CA 93312-6337
Phone (866) 707-6664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A44584CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical Psychiatric Services Psychiatry CurrentSince Dec 24, 2020 Accepting new patients
Omni Family Health Past Accepting new patients

Locations

3409 Calloway Dr
Ste 601
Bakersfield, CA 93312
Phone (661) 589-1200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ravi.goklaney.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 2

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1437212636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 CALLOWAY DR",
            "address_2": "SUITE #601",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122528",
            "telephone_number": "661-589-1200",
            "fax_number": "661-589-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 CALLOWAY DR",
            "address_2": "SUITE #601",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122528",
            "telephone_number": "661-589-1200",
            "fax_number": "661-589-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOKLANEY",
        "first_name": "RAVI",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A44584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.