NPIMap

Organization Active NPI

Mehul Raval

  • Nephrology Physician
  • Stockton, CA
National Provider Identifier
1497289789
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MEHUL RAVAL
Practice address
1801 Each March Lane
Suite B265
Stockton, CA 95210-6655
Phone
(209) 546-1868
Fax
(209) 461-6505
NPI assigned
Apr 13, 2017
Last updated
Apr 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Mehul Raval, MDNPI 1710157474
Title
MD
Phone
(209) 546-1868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

1801 Each March Lane
Suite B265
Stockton, CA 95210-6655

Mailing address

1801 Each March Lane
Suite B265
Stockton, CA 95210-6655
Phone (209) 546-1868

National Provider Directory

National Provider Directory

Locations

2160 W Grant Line Rd
Ste 200
Tracy, CA 95377
Phone (209) 369-8086

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1497289789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 EACH MARCH LANE",
            "address_2": "SUITE B265",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106655",
            "telephone_number": "209-546-1868",
            "fax_number": "209-461-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 EACH MARCH LANE",
            "address_2": "SUITE B265",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106655",
            "telephone_number": "209-546-1868",
            "fax_number": "209-461-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHUL RAVAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "RAVAL",
        "authorized_official_first_name": "MEHUL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "209-546-1868",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.