Organization Active NPI

Niva Institute of Neurosciences, Inc.,

  • Neurology Physician
  • Apple Valley, CA
National Provider Identifier
1194093229
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A115902 Issued in CA
Legal business name
NIVA INSTITUTE OF NEUROSCIENCES, INC.,
Practice address
15963 Quantico Rd
Suite C,
Apple Valley, CA 92307-0839
Phone
(760) 242-4810
Fax
(760) 242-4760
NPI assigned
Dec 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Dr. Ravi Ashok Patel, M.D, MBA, FACP, FAHANPI 1962667790
Title
Ceo and President
Phone
(760) 242-4810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A115902 CA Primary

Addresses

Primary practice location

15963 Quantico Rd
Suite C,
Apple Valley, CA 92307-0839

Mailing address

15963 Quantico Rd
Suite C,
Apple Valley, CA 92307-0839
Phone (760) 242-4810

Other names 1

  • NINS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120420000202 CA Part B Supplier - Clinic/Group Practice 1052572948 Receives reassigned benefits from 2 practitioners
Practice locations: Apple Valley, CA; Orange, CA

National Provider Directory

National Provider Directory

Locations

15963 Quantico Rd
Ste 115
Apple Valley, CA 92307

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1322956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1194093229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15963 QUANTICO RD",
            "address_2": "SUITE C,",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070839",
            "telephone_number": "760-242-4810",
            "fax_number": "760-242-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15963 QUANTICO RD",
            "address_2": "SUITE C,",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070839",
            "telephone_number": "760-242-4810",
            "fax_number": "760-242-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIVA INSTITUTE OF NEUROSCIENCES, INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-04",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "ASHOK",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "760-242-4810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D, MBA, FACP, FAHA"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A115902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NINS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.