Individual provider Active NPI

Ravi Raj Shah, MD

  • Internal Medicine Physician
  • Irvine, CA
National Provider Identifier
1518384759
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
53853 Issued in AZ
Practice address
11 Technology Dr
Irvine, CA 92618-2302
Phone
(949) 923-3200
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 53853 AZ Primary

Addresses

Primary practice location

11 Technology Dr
Irvine, CA 92618-2302

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 336-3213

Other practice location 2

2007 Wren Way
Fullerton, CA 92833-1548
Phone (714) 353-9142

Other practice location 3

101 Civic Center Ln
Lake Havasu City, AZ 86403-5607
Phone (928) 855-8185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170913003931 AZ Practitioner - Hospitalist 4789996083 Reassigns benefits to 1 organization
I20180828004071 CA Practitioner - Internal Medicine 4789996083 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1236 N Magnolia Ave
Anaheim, CA 92801-2607
Phone (714) 995-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53853AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Medical Group P C Internal Medicine CurrentSince May 4, 2024 Accepting new patients
Pinnacle Medical Group, Inc Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Current Accepting new patients
Centers for Family Medicine GP Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 20, 2020 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Saddleback Medical Group Inc CurrentSince May 4, 2024 Accepting new patients
Cassidy Medical Group Inc. Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 20, 2020 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Pinnacle Medical Group, Inc Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Beaver Medical Group P C CurrentSince May 4, 2024 Accepting new patients

Locations

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

11 Technology Dr
Irvine, CA 92618
Phone (855) 206-6764

24221 Calle de la Louisa
Ste 400
Laguna Hills, CA 92653
Phone (949) 465-8155

24221 Calle de la Louisa
Ste 200
Laguna Hills, CA 92653
Phone (949) 465-8155

4910 Airport Plaza Dr
Ste 210
Long Beach, CA 90815
Phone (562) 421-3727

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: fre7568@yourcarecommunity.org
  • Direct secure messaging: rshah613718@direct.memorialcare.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 1

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1518384759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TECHNOLOGY DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182302",
            "telephone_number": "949-923-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "928-336-3213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2007 Wren Way",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928331548",
            "country_code": "US",
            "telephone_number": "714-353-9142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Civic Center Ln",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864035607",
            "country_code": "US",
            "telephone_number": "928-855-8185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RAVI",
        "middle_name": "RAJ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "53853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.