Chandni Vinay Raval, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

53626 Issued in CA

Practice address

5333 Mission Center Rd
Suite #100
San Diego, CA 92108-1302

Phone

(619) 295-3355

NPI assigned

Sep 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chandni Vinay Kapadia Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• American Current Care of Arizona PA

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1780873307
  Medicare reassignment NPD

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1093264400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2196 FENTON PKWY",
            "address_2": "APARTMENT 217",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084770",
            "telephone_number": "623-570-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MISSION CENTER RD",
            "address_2": "SUITE #100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081302",
            "telephone_number": "619-295-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVAL",
        "first_name": "CHANDNI",
        "middle_name": "VINAY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANDNI",
            "last_name": "KAPADIA",
            "middle_name": "VINAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robyn Melissa Raupe, PHARMD
• Dori N. Rausch-Rafii, M.D.
• Lucie Rautenberg
• Scott Rauvola, D.D.S.
• Guy A. Ravad, MD
• Lisa Ravalli, MPT
• Amir Ravandi, MD PHD
• Raveen Thekkeurimbil Raviendran, M.D.
• Meera Ravindranathan, M.D.
• Madison Ravine, DPM

• Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.