Individual provider Active NPI

Ravi Prakash Bhakta

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1093248510
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A167225 Issued in CA
Practice address
901 W Civic Center Dr Ste 120
Santa Ana, CA 92703-2380
Phone
(714) 835-8501
NPI assigned
Apr 11, 2017
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A167225 CA Primary

Addresses

Primary practice location

901 W Civic Center Dr Ste 120
Santa Ana, CA 92703-2380

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

6900 Lincoln Ave
Buena Park, CA 90620-4148
Phone (714) 522-4009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ravi.bhakta@optum.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200921001979 CA Practitioner - Family Practice 2860810058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1236 N Magnolia Ave
Anaheim, CA 92801-2607
Phone (714) 995-1000

13357 S St
Cerritos, CA 90703-7308
Phone (562) 379-8000

19066 Magnolia St
Huntington Beach, CA 92646-2232
Phone (714) 968-0068

3460 Katella Ave
Los Alamitos, CA 90720-2334
Phone (562) 594-6599

3501 S Harbor Blvd
Santa Ana, CA 92704-6919
Phone (714) 968-0068

6900 Lincoln Ave
Buena Park, CA 90620-4148
Phone (714) 522-4009

824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706

901 W Civic Ctr Dr
Suite 120
Santa Ana, CA 92703-2380
Phone (714) 835-8501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A167225CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Aug 17, 2020 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 17, 2020 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

6900 Lincoln Ave
Buena Park, CA 90620
Phone (714) 522-4009

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

13357 South St
Cerritos, CA 90703
Phone (562) 379-8000

40690 California Oaks Rd
Ste A
Murrieta, CA 92562
Phone (951) 600-0640

901 W Civic Center Dr
Ste 120
Santa Ana, CA 92703
Phone (714) 835-8501

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rbhakta207368@westdirect.optum.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1093248510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W CIVIC CENTER DR STE 120",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032380",
            "telephone_number": "714-835-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906204148",
            "country_code": "US",
            "telephone_number": "714-522-4009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "RAVI",
        "middle_name": "PRAKASH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A167225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ravi.bhakta@optum.com",
            "affiliation": "N",
            "endpointDescription": "work encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "901 W Civic Center Dr Ste 120",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927032380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.