NPIMap

Individual provider Active NPI

Ravinder Singh Khaira, MD

  • Pediatrics Physician
  • Sacramento, CA
National Provider Identifier
1902842354
Registry record updated Sep 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A056390 Issued in CA
Practice address
4617 Freeport Blvd Ste B
Sacramento, CA 95822-2015
Phone
(916) 422-7273
Fax
(916) 422-2127
NPI assigned
Jun 22, 2006
Last updated
Sep 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A056390 CA Primary

Addresses

Primary practice location

4617 Freeport Blvd Ste B
Sacramento, CA 95822-2015

Mailing address

4617 Freeport Blvd
Suite B
Sacramento, CA 95822
Phone (916) 422-7273

Other identifiers 1

IdentifierTypeStateIssuer
2146331MedicaidCA

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A056390CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Family Medical Associates, Inc Current Accepting new patients
East Sacramento Pediatric Medical Group Inc Pediatrics Past Accepting new patients
Roseville Pediatric Medical Group, Inc Past Accepting new patients
Carmichael Pediatric Medical Group, Inc. Pediatrics Past Accepting new patients
Land Park Pediatric Medical Group Pediatrics Past Accepting new patients
Dignity Health Past Accepting new patients
Pediatric Medical Associates of Sacramento Inc Pediatrics Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Dignity Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ravindersingh.khaira.p4@direct.gspa.nextgenshare.com
  • Direct secure messaging: rkhaira34571@hisp.ehr.sutterhealth.org

Organizations & group practices 11

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1902842354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 FREEPORT BLVD",
            "address_2": "SUITE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95822",
            "telephone_number": "916-422-7273",
            "fax_number": "916-422-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 FREEPORT BLVD STE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958222015",
            "telephone_number": "916-422-7273",
            "fax_number": "916-422-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIRA",
        "first_name": "RAVINDER",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A056390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2146331",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2017; 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.