Active NPI
Ravi Patel
- Pharmacist
- Rancho Cucamonga, CA
National Provider Identifier
1396081824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58151
- Practice address
- 10576 Foothill Blvd
Rancho Cucamonga, CA 91730-3890 - Phone
- (909) 941-7406
- NPI assigned
- Jan 3, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 58151 | CA | Primary |
Addresses
Primary practice location
10576 Foothill Blvd
Rancho Cucamonga, CA 91730-3890
Mailing address
3956 Golden Terrace LN
Chino Hills, CA 91709-4927
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": "1357171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1396081824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3956 GOLDEN TERRACE LN",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917094927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10576 FOOTHILL BLVD",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917303890",
"telephone_number": "909-941-7406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RAVI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-03",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "58151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.