OrganizationActive
Ravindra Gautam, M.D., Inc.
NPI 1366490310 · Internal Medicine Physician · Barstow, CA
Provider details
- NPI number
- 1366490310
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ravindra Gautam MD
- Organization subpart
- Yes
- Authorized official
- Ravindra Gautam, Ceo(760) 256-1004
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiac Rehabilitation Registered Nurse163WC3500X
Nursing Service Providers
- Hospitalist Physician208M00000X
Allopathic & Osteopathic Physicians
- Cardiac Rehabilitation Clinic/Center261QR0404X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
930 W Main St
Barstow, CA 92311-2654
Phone: (760) 256-1004
Fax: (760) 256-1055
Street-level locationGet directions
Mailing address
Po Box 1519
Barstow, CA 92312-1519
Additional practice locations (1)
- 121 S 7th Ave Ste aBarstow, CA 92311-3059Phone: (760) 818-4228Fax: (760) 818-4573
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2024-11-27
- Certified
- 2024-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.