Ravi Tadepu, B.A.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

424 Peninsula Ave
San Mateo, CA 94401-1653

Phone

(800) 538-8365

NPI assigned

Apr 27, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

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.

• Center for Learning and Autism Support Services, Inc.

  • Early Intervention Provider Agency
  • San Mateo, CA
  • NPI 1417139288

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1083069975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 HOMESTEAD RD STE 250",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950505485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 PENINSULA AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944011653",
            "telephone_number": "800-538-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADEPU",
        "first_name": "RAVI",
        "name_prefix": "Mr.",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katalin A Szabo, MD
• Parham A Tabar, DMD
• Solomon Tabb Jr.
• Dea Leticia Tabili
• Sarah Nicole Tachibana, M.S. , M.F.T.
• Asyia Baya Tadj
• Carol Tadla, NP
• Al V Taira, MD
• Marie Rose Tajon-Scott, MA
• Richard Takeshi Takasugi

• Behavior Analyst in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.