Dave Ravi, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A156663 Issued in CA

Practice address

421 N Brookhurst St Ste 119
Anaheim, CA 92801-5618

Phone

(714) 361-0898

Fax

(714) 276-2604

NPI assigned

Apr 20, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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

Psychiatry

Education

Virginia Commonwealth University, School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alliance for Wellness IncGroup PAC ID 9931355617, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Paradise Valley Hospital Hospital, National City, CA, CCN 050024

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: dave.ravi@hawaiihie.medicity.net

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.

• Alliance for Wellness, Inc.

  • Psychiatry Physician
  • Inglewood, CA
  • NPI 1124329131
  Medicare reassignment Care Compare group NPD
• Coast Medical, PC

  • Psychiatry Physician
  • Anaheim, CA
  • NPI 1780435628
  Medicare reassignment NPD
• Mental Health and Nursing PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Anaheim, CA
  • NPI 1528693579
  Medicare reassignment NPD
• Renewed Medical Group, a Professional Medical Corporation

  • Psychiatry Physician
  • Anaheim, CA
  • NPI 1922785690
  Medicare reassignment NPD
• Tamika Henry MD Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1770381436
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prime Healthcare Paradise Valley LLC

  • General Acute Care Hospital
  • Chula Vista, CA
  • NPI 1194898486
  Care Compare affiliation
• Prime Healthcare Paradise Valley LLC

  • General Acute Care Hospital
  • National City, CA
  • NPI 1356410351
  Care Compare affiliation

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1043501364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 LUSITANA ST",
            "address_2": "4TH FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132409",
            "telephone_number": "808-586-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N BROOKHURST ST STE 119",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015618",
            "telephone_number": "714-361-0898",
            "fax_number": "714-276-2604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1356 Lusitana St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132409",
            "country_code": "US",
            "telephone_number": "808-586-7445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVI",
        "first_name": "DAVE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "18107",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A156663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.