Ravindra Gautam, M.D., Inc.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

RAVINDRA GAUTAM, M.D., INC.

Doing business as

Ravindra Gautam MD

Practice address

930 W Main St
Barstow, CA 92311-2654

Phone

(760) 256-1004

Fax

(760) 256-1055

NPI assigned

Jul 7, 2025

Last updated

Jul 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ravindra Moharpal Gautam, MDNPI 1891791703

Title

Ceo

Phone

(760) 256-1004

Specialties & licenses 1

Addresses

Other names 1

• Ravindra Gautam MD Doing business as

Tax ID family

Ravindra Gautam MD a PR2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ravindra Gautam, M.D., Inc.

  • Internal Medicine Physician
  • Barstow, CA
  • NPI 1366490310
  NPD tax ID

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.

• Ravindra Moharpal Gautam, M.D.

  • Internal Medicine Physician
  • Barstow, CA
  • NPI 1891791703
  NPD Authorized official

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1689564072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112654",
            "telephone_number": "760-256-1004",
            "fax_number": "760-256-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112654",
            "telephone_number": "760-256-1004",
            "fax_number": "760-256-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVINDRA GAUTAM, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "GAUTAM",
        "authorized_official_first_name": "RAVINDRA",
        "authorized_official_middle_name": "MOHARPAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-256-1004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ravindra Gautam MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randa and Wahl, a Physical Therapy Corp. (Back on Track)
• Carla Antoinette Randolph
• Lydia Dolores Rasmussen, NURSE PRACTITIONER
• Cortney Rasplicka, MA, PPS
• Ravindra Gautam, M.D., Inc.
• Sabrina Rebuck, OTR/L
• Elizabeth Janine Reckner
• Reda Tadros, MD, Inc
• Bommireddy Vishwas Reddy, ND
• Kenyanda Sharie Reddy

• Case Manager/Care Coordinator in Barstow, CA
• Providers in Barstow, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.