NPIMap

Organization Active NPI

Ravi B Shah, DO Inc

  • Surgery Physician
  • Placentia, CA
National Provider Identifier
1376915462
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A9434 Issued in CA
Legal business name
RAVI B SHAH, DO INC
Doing business as
North Orange County Surgical Clinic
Practice address
1275 N Rose Dr
Suite #118
Placentia, CA 92870-3941
Phone
(714) 577-9090
Fax
(714) 572-8483
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Dr. Ravi B Shah, DO
Title
President
Phone
(714) 577-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 20A9434 CA Primary

Addresses

Primary practice location

1275 N Rose Dr
Suite #118
Placentia, CA 92870-3941

Mailing address

1275 N Rose Dr
Suite #118
Placentia, CA 92870-3941

Other names 1

  • North Orange County Surgical Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1376915462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 N ROSE DR",
            "address_2": "SUITE #118",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N ROSE DR",
            "address_2": "SUITE #118",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703941",
            "telephone_number": "714-577-9090",
            "fax_number": "714-572-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI B SHAH, DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAVI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-577-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A9434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Orange County Surgical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.