Richa Gautami

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A195850 Issued in CA

Practice address

4411 E Cesar Chavez Blvd # 319
Fresno, CA 93702-3604

Phone

(559) 600-2382

Fax

(559) 475-7866

NPI assigned

Jun 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Central Star Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1255218905
  NPD (past)
• Central Star Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Merced, CA
  • NPI 1629574777
  NPD (past)

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1861068488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 E CESAR CHAVEZ BLVD # 319",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023604",
            "telephone_number": "559-600-2382",
            "fax_number": "559-475-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 E CESAR CHAVEZ BLVD # 319",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023604",
            "telephone_number": "559-600-2382",
            "fax_number": "559-475-7866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4411 E Kings Canyon Rd # 319",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-600-2382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E 15th St Ste C",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953416217",
            "country_code": "US",
            "telephone_number": "209-386-1092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3550 Highway 468 W",
            "address_2": "Building #25",
            "address_purpose": "LOCATION",
            "city": "Whitfield",
            "state": "MS",
            "postal_code": "39193",
            "country_code": "US",
            "telephone_number": "650-966-4639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 Marquette Rd",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390423038",
            "country_code": "US",
            "telephone_number": "650-966-4639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2934 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031123",
            "country_code": "US",
            "telephone_number": "559-549-6697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1539 McHenry Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953504528",
            "country_code": "US",
            "telephone_number": "209-702-0139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3433 W Shaw Ave # 107",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113229",
            "country_code": "US",
            "telephone_number": "559-476-2115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "496 S Barton Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937022985",
            "country_code": "US",
            "telephone_number": "559-860-4422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E 13th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953416211",
            "country_code": "US",
            "telephone_number": "209-386-1096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2416 W Shaw Ave Ste 114",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113303",
            "country_code": "US",
            "telephone_number": "559-374-3990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUTAMI",
        "first_name": "RICHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A195850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Gault, PAC
• Alok Gaur, MD
• Asha Gaur, MD
• Jivitesh Gaurav
• Ila Rashmeesha Gautam
• Patricia Gavel
• Chandler D Gavin
• Charles J Gavin, MD
• Narek Gavlakian
• Gina Marie Gavrilis Wagner, M.A., BCBA

• Psychiatry Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.