Active NPI
Ravi Raj Shah, MD
- Internal Medicine Physician
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 53853
- 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
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 |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 53853 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Medical Group P C | Internal Medicine | Current | Accepting new patients |
| Pinnacle Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Internal Medicine | Current | Accepting new patients |
| Centers for Family Medicine GP | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of California, Inc | Internal Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Apogee Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Saddleback Medical Group Inc | Current | Accepting new patients | |
| Cassidy Medical Group Inc. | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Apogee Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Pinnacle Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Beaver Medical Group P C | Current | 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
- fre7568@yourcarecommunity.org
- 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.
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
dba Optum
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
Internal Medicine
-
dba Optumcare Medical Group
- Family Medicine Physician
- Los Alamitos, CA
- NPI 1467598243
Internal Medicine
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
-
dba Optum
- Family Medicine Physician
- Fontana, CA
- NPI 1376876912
Internal Medicine
-
- Gastroenterology Physician
- Laguna Hills, CA
- NPI 1386605822
-
- Internal Medicine Physician
- Lake Havasu City, AZ
- NPI 1760652218
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Multi-Specialty Clinic/Center
- Vista, CA
- NPI 1215003470
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
dba Optum
- Addiction Medicine (Internal Medicine) Physician
- Tustin, CA
- NPI 1891981502
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.