NPIMap

Individual provider Active NPI

Asha R. Ravikumar, M.D.

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1124240874
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A99469 Issued in CA
Practice address
513 Parnassus Ave # Hse672
San Francisco, CA 94143-2205
Phone
(415) 476-1812
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A99469 CA Primary

Addresses

Primary practice location

513 Parnassus Ave # Hse672
San Francisco, CA 94143-2205

Mailing address

1800 N Oak St Apt 410
Arlington, VA 22209-2607
Phone (312) 505-2742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090902000192 CA Practitioner - NephrologyPractitioner - Internal Medicine 1052466778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Northwestern University Feinberg Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern California Kidney Consultants IncGroup PAC ID 6103811286, 21 clinicians

Practice addresses (Care Compare)

12665 Garden Grove Blvd
Suite 211
Garden Grove, CA 92843-1916
Phone (714) 636-2890

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Kidney Consultants Inc. CurrentSince Jan 1, 2018 Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
UCSF Medical Group Business Services Internal Medicine Past Accepting new patients
Orange County Vascular Access, a Medical Corporation PastSince Jun 7, 2022 Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
University of California Irvine Past Accepting new patients
Anaheim-Buena Park Regional Dialysis Center LLC PastSince Jan 17, 2024 Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

1019 W La Palma Ave
Unit A
Anaheim, CA 92801
Phone (714) 364-4441

100 E Valencia Mesa Dr
Ste 100
Fullerton, CA 92835
Phone (714) 525-4185

12665 Garden Grove Blvd
Ste 211
Garden Grove, CA 92843
Phone (714) 636-2890

5451 La Palma Ave
Ste 47
La Palma, CA 90623
Phone (714) 226-0818

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: asha.ravikumar.1@21072.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21072/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124240874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N OAK ST APT 410",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092607",
            "telephone_number": "312-505-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 PARNASSUS AVE # HSE672",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432205",
            "telephone_number": "415-476-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVIKUMAR",
        "first_name": "ASHA",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A99469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.