Ravi Prabhubhai Patel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

100668 Issued in CA

Practice address

300 Prosperity Blvd
Chowchilla, CA 93610-8498

Phone

(559) 664-4000

Fax

(559) 675-5224

NPI assigned

Aug 8, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• United Health Centers of the San Joaquin Valley

  • Federally Qualified Health Center (FQHC)
  • Orange Cove, CA
  • NPI 1649252198
  NPD (past)

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1194279083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PROSPERITY BLVD",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936108498",
            "telephone_number": "559-664-4000",
            "fax_number": "559-675-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PROSPERITY BLVD",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936108498",
            "telephone_number": "559-664-4000",
            "fax_number": "559-675-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAVI",
        "middle_name": "PRABHUBHAI",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ortegaluares Nursing Home LLC
• Carrie Lynn Ortiz, PH.D.
• Su Myat Paing
• Edward Palmer, PHD
• Palms Care Center LLC (Palms Care Center)
• Citlally Yamilex Paz
• Joseph Agapito Perez, DDS
• Duy DO Pham
• John Pryce
• Andrea Puente, LCSW

• General Practice Dentistry in Chowchilla, CA
• Providers in Chowchilla, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.