DR. RAGHUNATH R. KUCHAKULLA (NPI# 1780720151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780720151 |
| Entity Type | Individual |
| Full Name | DR. RAGHUNATH R. KUCHAKULLA |
| Credential | M.D. |
| Practice Address |
1700 Mount Vernon Ave Bakersfield CA 93306-4018 |
| Mailing Address |
Po Box 1843 Bakersfield CA 93303-1843 |
| Practice Telephone | 6613262128 |
| Practice Fax Number | 6613262129 |
| Mailing Telephone | 6613357755 |
| Mailing Fax Number | 6613357766 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2010-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | A100558 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PENDING | 05 |
| Street Address |
1700 MOUNT VERNON AVE |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93306-4018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033110184 | Thomas Wayne Moxley | Obstetrics & Gynecology | 1700 Mount Vernon Ave, Kern Medical Center, Bakersfield, CA 93306-4018 | 2005-08-10 |
| 1851990758 | Erica Molina | Dietitian, Registered | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2020-10-21 |
| 1093314130 | Claire Anspach | Dietitian, Registered | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2020-10-20 |
| 1144848979 | Nakisa Kiai | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2020-07-08 |
| 1043832892 | Lacy M. A. Graff | Physician Assistant | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2020-05-15 |
| 1730700238 | Edward John Mccrink IIi | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2020-05-06 |
| 1417578212 | Afomia Mesfin | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2020-05-03 |
| 1003436551 | Bryan Elrod | Nurse Anesthetist, Certified Registered | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2020-04-24 |
| 1578182580 | Carol Tang | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2020-04-09 |
| 1083243125 | Tyler J Torrico | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave, Bakersfield, CA 93306-4018 | 2020-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962069559 | Anaheed Ayoobzadehshirazi | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave Bakersfield, Ca 93306, Bakersfield, CA 93306 | 2019-05-20 |
| 1770007049 | Caryn Gover | Speech-Language Pathologist | 3939 Bernard Street, Suite 6, Bakersfield, CA 93306 | 2017-07-28 |
| 1124549829 | Kern Congregate Facility, Inc | Skilled Nursing Facility | 4803 Christmas Tree Ln, Bakersfield, CA 93306 | 2017-07-03 |
| 1497294474 | Pedro Fajardo | Occupational Therapy Assistant | 3796 Dana Street, Bakersfield, CA 93306 | 2017-02-23 |
| 1053864546 | Marisol Rios | Social Worker | 2621 Oswell Street, Ste #119, Bakersfield, CA 93306 | 2016-08-01 |
| 1205295698 | Manjinder Singh | Physical Therapy Assistant | 2701 Bernard St, Apt 71, Bakersfield, CA 93306 | 2016-02-15 |
| 1285007864 | Jessica Sierra | Licensed Vocational Nurse | 1800 Mt. Vernon Ave, Bakersfield, CA 93306 | 2015-11-04 |
| 1801277769 | Special Treatment, Education and Prevention Services | Preferred Provider Organization | 3533 Mt Vernon Ave, Bakersfield, CA 93306 | 2015-06-16 |
| 1538549852 | Bakersfield Specialists Surgical Center, LLC | Clinic/Center | 4500 Morning Drive, Ste. 102, Bakersfield, CA 93306 | 2015-06-02 |
| 1629475538 | Shiva Farvon | Nurse Practitioner | 1700 Mt. Vernon, Bakersfield, CA 93306 | 2014-11-21 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386161982 | Advanced Anesthesia Specialists | Anesthesiology | 4500 Trade Center Dr Ste A, Bakersfield, CA 93311-8716 | 2017-08-24 |
| 1083130553 | Advanced Anesthesia Specialists A Medical Corporation | Anesthesiology | 4500 Trade Center Dr Ste B, Bakersfield, CA 93311-8716 | 2017-08-16 |
| 1083926232 | Philip Khoury | Anesthesiology | 3850 Riverlakes Dr Ste B, Bakersfield, CA 93312-6662 | 2010-07-04 |
| 1942436324 | Robin Am Kim | Anesthesiology | 1700 Mt. Vernon Avenue, Bakersfield, CA 93306-4018 | 2009-05-30 |
| 1306019237 | Madrid Connections | Anesthesiology | 2525 Eye St Ste A, Bakersfield, CA 93301-2004 | 2008-04-11 |
| 1285819391 | Govindan Balasubramanian Md Inc | Anesthesiology | 9300 Stockdale Hwy Ste 200, Bakersfield, CA 93311-3611 | 2008-01-08 |
| 1912051996 | Hugh Beatty, M.d., Inc. | Anesthesiology | 6001 Truxtun Ave Ste 240, Bakersfield, CA 93309-0675 | 2007-01-23 |
| 1013071828 | Grant Wilson Peters | Anesthesiology | 1600 Truxtun Ave, Fifth Floor, Bakersfield, CA 93301-5104 | 2006-12-19 |
| 1578636890 | Sreedhar Kommineni | Anesthesiology | 3200 21st St, Suite 301, Bakersfield, CA 93301-3144 | 2006-11-16 |
| 1316987910 | Richard E Wendt | Anesthesiology | 11107 Hilaire Blaise Dr, Bakersfield, CA 93311-3708 | 2006-06-08 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93306 |
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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.