Individual provider Active NPI

Ravi Khemlani

  • Driver
  • Pleasanton, CA
National Provider Identifier
1659867257
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
F8182238 Issued in CA
Practice address
5674 Stoneridge Dr Ste 105
Pleasanton, CA 94588-8563
Phone
(925) 551-8300
NPI assigned
Jul 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X F8182238 CA Primary

Addresses

Primary practice location

5674 Stoneridge Dr Ste 105
Pleasanton, CA 94588-8563

Mailing address

5674 Stoneridge Dr Ste 105
Pleasanton, CA 94588-8563
Phone (925) 399-1762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F8182238CAMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
3Rd Planet LLC Current Accepting new patients

Locations

5674 Stoneridge Dr
Ste 105
Pleasanton, CA 94588
Phone (925) 399-1762

Organizations & group practices 1

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": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1659867257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5674 STONERIDGE DR STE 105",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888563",
            "telephone_number": "925-399-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5674 STONERIDGE DR STE 105",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888563",
            "telephone_number": "925-551-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEMLANI",
        "first_name": "RAVI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "F8182238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.