Ultimate Physical Medicine & Rehabilitation Apc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A130673 Issued in CA

Legal business name

ULTIMATE PHYSICAL MEDICINE & REHABILITATION APC

Practice address

33 Creek Rd
#260
Irvine, CA 92604-4791

Phone

(949) 552-5572

NPI assigned

Oct 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Behdad Hamidi Ravari, M.D

Title

President

Phone

(949) 836-2529

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Behdad Hamidi Ravari, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Laguna Hills, CA
  • NPI 1881974699
  Medicare reassignment NPD
• Katerina Hoerner, DPT

  • Physical Therapist
  • San Juan Capistrano, CA
  • NPI 1699245340
  NPD (past)

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1093186371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 WESTMINSTER AVE",
            "address_2": "UNIT 3537",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907409100",
            "telephone_number": "949-836-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CREEK RD",
            "address_2": "#260",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044791",
            "telephone_number": "949-552-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE PHYSICAL MEDICINE & REHABILITATION APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "HAMIDI RAVARI",
        "authorized_official_first_name": "BEHDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-836-2529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A130673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "A130673",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Kristin Ukleja, MOT, OTR/L
• Jada Ulep
• Kort Christopher Ulicny, M.D.
• Ann Ullrich, MD
• Natalia Ullrich, REGISTERED DIETITIAN
• Ultimate Ultrasound, P.C.
• Um Dental Inc
• Heleana Unanoff
• Jordan Unatin
• Cynthia Underwood, BCBA

• Physical Medicine & Rehabilitation Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.