DR. RAVI R PANKHANIYA (NPI# 1992902670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992902670 |
| Entity Type | Individual |
| Full Name | DR. RAVI R PANKHANIYA |
| Credential | M.D. |
| Practice Address |
10200 Trinity Pkwy Suite 206 Stockton CA 95219-7286 |
| Mailing Address |
12219 Kirkdale Dr Saratoga CA 95070-3116 |
| Practice Telephone | 2092070555 |
| Practice Fax Number | 2099164900 |
| Mailing Telephone | 4155067284 |
| Mailing Fax Number | 6503602807 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2016-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | A86587 | CA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
A86587 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
10200 TRINITY PKWY SUITE 206 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-7286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437117322 | Gursharan S Nahl | Internal Medicine | 10200 Trinity Pkwy, Suite 102, Stockton, CA 95219-7286 | 2006-05-02 |
| 1053681890 | Carrie Bray | Physical Therapist | 10200 Trinity Pkwy, Suite 205, Stockton, CA 95219-7286 | 2012-01-11 |
| 1639499239 | Delta Radiology Medical Group Inc | Radiology | 10200 Trinity Pkwy, # 204, Stockton, CA 95219-7286 | 2010-06-04 |
| 1073758264 | Trinity Plaza Surgery Center LLC | Clinic/Center | 10200 Trinity Pkwy, Suite 101, Stockton, CA 95219-7249 | 2008-12-02 |
| 1093960403 | Alshifa Medical Group | Clinic/Center | 10200 Trinity Pkwy, Suite 202, Stockton, CA 95219-7249 | 2008-11-26 |
| 1801095039 | Maria Christie Villacorte Fernando | Physical Medicine & Rehabilitation | 10200 Trinity Pkwy, Suite 207, Stockton, CA 95219-7286 | 2007-07-17 |
| 1518188366 | Madelaine Aquino, M.d. Inc. | Clinic/Center | 10200 Trinity Pkwy, Suite 207, Stockton, CA 95219-7286 | 2007-05-01 |
| 1194949818 | Tony Hoang Tran | Emergency Medicine | 10200 Trinity Pkwy, Suite 102, Stockton, CA 95219-7286 | 2007-04-12 |
| 1225153091 | Gregory Black | Physical Therapist | 10200 Trinity Pkwy, Suite 205, Stockton, CA 95219-7286 | 2007-03-20 |
| 1881745313 | Samuel V Vescera | Anesthesiology | 10200 Trinity Pkwy, Suite 101, Stockton, CA 95219-7249 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
| Find all providers in zip 95219 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1437469624 | Bay Area Anesthesia Associates | Pain Medicine | 4512 Feather River Dr, Stockton, CA 95219-6563 | 2010-10-20 |
| 1851322028 | Jeffrey L Mansoor Md Inc | Pain Medicine | 525 W Acacia St, Stockton, CA 95203-2405 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795836 | John Qian M.d. Inc. | Pain Medicine | 5360 Jackson Dr Ste 100, La Mesa, CA 91942-3012 | 2020-03-18 |
| 1831751403 | Abigail Howe | Pain Medicine | 2421 Park Blvd # B205, Palo Alto, CA 94306-1998 | 2019-07-03 |
| 1144781519 | Central Coast Functional Restoration Program Inc | Pain Medicine | 1260 41st Ave Ste D, Capitola, CA 95010-3929 | 2019-03-28 |
| 1497226419 | Birladeanu Medical Corp | Pain Medicine | 5255 Elkhorn Blvd Ste A, Sacramento, CA 95842-2506 | 2018-12-17 |
| 1033649413 | Latora Subani | Pain Medicine | 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 | 2017-06-18 |
| 1982061354 | Hilary J Fausett, M.d. A Medical Corporation | Pain Medicine | 39 Congress St Ste 303, Pasadena, CA 91105-3022 | 2016-01-15 |
| 1346616695 | Nuvation Pain Group | Pain Medicine | 5832 Beach Blvd Unit 208, Buena Park, CA 90621-5501 | 2015-08-20 |
| 1740674050 | Guardian Headache and Pain Management Institute LLC | Pain Medicine | 3747 Franklin Ave, Suite 200, Long Beach, CA 90808-1334 | 2015-03-25 |
| 1659772606 | Sonny Rubin, M.d. Inc | Pain Medicine | 455 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-4241 | 2014-09-09 |
| 1841615762 | Peyman Gravori | Pain Medicine | 16311 Ventura Blvd Ste 1065-b, Encino, CA 91436-2124 | 2014-02-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.