Individual provider Active NPI

Adrian B Ravitz, CO

  • Orthotist
  • San Diego, CA
National Provider Identifier
1285821330
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
Practice address
12540 Oaks North Dr
Suite B3
San Diego, CA 92128-1608
Phone
(858) 943-1691
NPI assigned
Oct 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X Primary

Addresses

Primary practice location

12540 Oaks North Dr
Suite B3
San Diego, CA 92128-1608

Mailing address

12540 Oaks North Dr
Suite B3
San Diego, CA 92128-1608
Phone (858) 943-1691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1285821330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12540 OAKS NORTH DR",
            "address_2": "SUITE B3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921281608",
            "telephone_number": "858-943-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12540 OAKS NORTH DR",
            "address_2": "SUITE B3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921281608",
            "telephone_number": "858-943-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVITZ",
        "first_name": "ADRIAN",
        "middle_name": "B",
        "credential": "CO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.