NPIMap

Individual provider Active NPI

Ravi B Shah, D.O.

  • Surgery Physician
  • Yorba Linda, CA
National Provider Identifier
1316140049
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A 9434 Issued in CA
Practice address
16671 E. Yorba Linda Blvd
Suite 100
Yorba Linda, CA 92886
Phone
(714) 577-9090
Fax
(714) 572-8483
NPI assigned
Jun 8, 2007
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20A 9434 CA Primary

Addresses

Primary practice location

16671 E. Yorba Linda Blvd
Suite 100
Yorba Linda, CA 92886

Mailing address

16671 E. Yorba Linda Blvd
Suite 100
Yorba Linda, CA 92886
Phone (714) 577-9090

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
I20120315000691 CA Practitioner - General Surgery 9133253412 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 5597663641, 61 clinicians
University Surgeons of Orange a Medical GroupGroup PAC ID 6901705227, 116 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
83.7
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A 9434CAMDSurgery Physician
9434CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
Regents of the University of California Current Accepting new patients
University Surgeons of Orange a Medical Group Surgery CurrentSince Sep 1, 2025 Accepting new patients
First Choice Physician Partners CurrentSince Sep 23, 2017 Accepting new patients
Regents of the University of California Surgery CurrentSince Mar 21, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Sep 23, 2017 Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
University of California Irvine Past Accepting new patients
Mission Surgical Center Inc Past Accepting new patients
District Hospital Partners L P Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

2250 S Main St
Ste 206
Corona, CA 92882
Phone (951) 278-8870

3851 Katella Ave
Ste 220
Los Alamitos, CA 90720
Phone (562) 377-7534

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001

1275 N Rose Dr
Ste 118
Placentia, CA 92870
Phone (714) 528-7777

1325 N Rose Dr
Ste 100
Placentia, CA 92870
Phone (714) 729-0103

3660 Park Sierra Dr
Ste 105
Riverside, CA 92505
Phone (951) 278-8870

16671 Yorba Linda Blvd
Ste 100
Yorba Linda, CA 92886
Phone (714) 577-9090

16671 Yorba Linda Blvd
Ste 210
Yorba Linda, CA 92886
Phone (714) 447-4800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ravi.shah.1@30912.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1316140049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16671 E. YORBA LINDA BLVD",
            "address_2": "SUITE 100",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "92886",
            "telephone_number": "714-577-9090",
            "fax_number": "714-572-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16671 E. YORBA LINDA BLVD",
            "address_2": "SUITE 100",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "92886",
            "telephone_number": "714-577-9090",
            "fax_number": "714-572-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RAVI",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A 9434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

Verify at the official NPI Registry.