Individual provider Active NPI

Indumathi Raghavan, M.D.

  • Geriatric Psychiatry Physician
  • Thousand Oaks, CA
National Provider Identifier
1851516934
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
A054464 Issued in CA
Practice address
509 Marin St
Suite# 233
Thousand Oaks, CA 91360-4261
Phone
(805) 496-8003
Fax
(805) 496-8303
NPI assigned
Apr 16, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A054464 CA
Geriatric Psychiatry Physician 2084P0805X A054464 CA Primary

Addresses

Primary practice location

509 Marin St
Suite# 233
Thousand Oaks, CA 91360-4261

Mailing address

509 Marin St
Suite 233
Thousand Oaks, CA 91360-4261
Phone (805) 496-8003

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A054464CAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Robles Hospice PastSince Feb 23, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1851516934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MARIN ST",
            "address_2": "SUITE 233",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604261",
            "telephone_number": "805-496-8003",
            "fax_number": "805-496-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MARIN ST",
            "address_2": "SUITE# 233",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604261",
            "telephone_number": "805-496-8003",
            "fax_number": "805-496-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHAVAN",
        "first_name": "INDUMATHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A054464",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A054464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.