Active NPI
Louis Ravitz, MD
- Gastroenterology Physician
- Santa Monica, CA
National Provider Identifier
1003863283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G24614
- Practice address
- 2336 Santa Monica Blvd
Suite 207
Santa Monica, CA 90404 - Phone
- (310) 828-9311
- Fax
- (310) 453-8533
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G24614 | CA | Primary |
Addresses
Primary practice location
2336 Santa Monica Blvd
Suite 207
Santa Monica, CA 90404
Mailing address
PO Box 10609
Burkbank, CA 91510-0609
Phone (818) 526-0200
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1003863283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10609",
"city": "BURKBANK",
"state": "CA",
"postal_code": "915100609",
"telephone_number": "818-526-0200",
"fax_number": "818-526-0258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2336 SANTA MONICA BLVD",
"address_2": "SUITE 207",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90404",
"telephone_number": "310-828-9311",
"fax_number": "310-453-8533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVITZ",
"first_name": "LOUIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G24614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.