Organization Active NPI

Humberto R. Ravelo, Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Long Beach, CA
National Provider Identifier
1215230370
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G42849 Issued in CA
Legal business name
HUMBERTO R. RAVELO, INC.
Practice address
2865 Atlantic Ave
215
Long Beach, CA 90806-1740
Phone
(562) 427-4752
Fax
(562) 492-6262
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Humberto Rogelio Ravelo, M.D.
Title
President
Phone
(562) 427-4752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X G42849 CA Primary

Addresses

Primary practice location

2865 Atlantic Ave
215
Long Beach, CA 90806-1740

Mailing address

2865 Atlantic Ave
215
Long Beach, CA 90806-1740
Phone (562) 427-4752

National Provider Directory

National Provider Directory

Locations

2865 Atlantic Ave
Ste 215
Long Beach, CA 90806
Phone (562) 427-4752

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1215230370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 ATLANTIC AVE",
            "address_2": "215",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061740",
            "telephone_number": "562-427-4752",
            "fax_number": "562-492-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 ATLANTIC AVE",
            "address_2": "215",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061740",
            "telephone_number": "562-427-4752",
            "fax_number": "562-492-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBERTO R. RAVELO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "RAVELO",
        "authorized_official_first_name": "HUMBERTO",
        "authorized_official_middle_name": "ROGELIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-427-4752",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G42849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.