Ravi Garehgrat, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D63584 Issued in MD

Practice address

10590 Town Center Dr Ste 170
Rancho Cucamonga, CA 91730-0361

Phone

(909) 483-0000

Fax

(909) 483-0001

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Riverside, CA
  • NPI 1316979834
  Medicare reassignment NPD
• Little Star Healthcare Little Star Pediatric Urgent Care

  • Urgent Care Clinic/Center
  • Rancho Cucamonga, CA
  • NPI 1710330352

  Pediatrics

  NPD (past) Authorized official
• Dresnick/Sterling Pediatric Services of Maryland, PA

  • Pediatrics Physician
  • Bel Air, MD
  • NPI 1669424834
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073569604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10590 TOWN CENTER DR STE 170",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300361",
            "telephone_number": "909-483-0000",
            "fax_number": "909-483-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10590 TOWN CENTER DR STE 170",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300361",
            "telephone_number": "909-483-0000",
            "fax_number": "909-483-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAREHGRAT",
        "first_name": "RAVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D63584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409008000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC BLUE CROSS #",
            "identifier": "S2560015",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "65013201",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seriah Naomi Garcia
• Simona Garcia, LVN
• Valeria Garcia
• Nicole Gardner
• Ronald James Gardner
• Garey Orthopedic Medical Group
• Garfield Beach CVS LLC
• Garfield Beach CVS LLC
• Garfield Beach CVS LLC
• Garfield Beach CVS LLC

• Pediatrics Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.