Ravi R Pankhaniya, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

A86587 Issued in CA

Practice address

10200 Trinity Pkwy
Suite 206
Stockton, CA 95219-7286

Phone

(209) 207-0555

Fax

(209) 916-4900

NPI assigned

Jun 27, 2007

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

AnesthesiologyAlso: Pain Management

Education

Emory University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Bay Area Anesthesia Associates

  • Pain Medicine (Anesthesiology) Physician
  • Stockton, CA
  • NPI 1346407434
  Medicare reassignment NPD Authorized official
• Bay Area Anesthesia Associates

  • Interventional Pain Medicine Physician
  • Stockton, CA
  • NPI 1437469624
  NPD Authorized official

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460851200000",
    "number": "1992902670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12219 KIRKDALE DR",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950703116",
            "telephone_number": "415-506-7284",
            "fax_number": "650-360-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 TRINITY PKWY",
            "address_2": "SUITE 206",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197286",
            "telephone_number": "209-207-0555",
            "fax_number": "209-916-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKHANIYA",
        "first_name": "RAVI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2016-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A86587",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A86587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisha Rose Tualla Pangan-Kennedy
• Alexis Joanna Paniagua
• Giovanna Paniagua
• Leticia Paniagua
• Mladen Panic
• Ravneet Kaur Pannu
• Panthers Limited Liability Co
• Michael Robert Panzer, DDS
• Mary Karen Papagolos, LMFT
• Paqinc

• Interventional Pain Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.