Pacific Coast Orthopedics Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A71729 Issued in CA

Legal business name

PACIFIC COAST ORTHOPEDICS INC

Practice address

101 Wilson Rd
Monterey, CA 93940-7864

Phone

(831) 648-8600

Fax

(831) 920-3400

NPI assigned

Nov 22, 2006

Last updated

Aug 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard V Ravalin, MDNPI 1407939572

Title

President/Owner

Phone

(831) 648-8600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Richard V Ravalin, MD

  • Orthopaedic Surgery Physician
  • Monterey, CA
  • NPI 1407939572
  Medicare reassignment Authorized official
• Katherine Jimenez, P.A.

  • Medical Physician Assistant
  • Monterey, CA
  • NPI 1417100769
  Medicare reassignment

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1629143581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 UPPER RAGSDALE DR STE 150",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407837",
            "telephone_number": "831-464-6200",
            "fax_number": "831-464-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WILSON RD",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407864",
            "telephone_number": "831-648-8600",
            "fax_number": "831-920-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST ORTHOPEDICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "RAVALIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "831-648-8600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A71729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A717292",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Ann Pace, LMFT
• Mary Lyra Pacey, LCSW
• Danielle S. Pacheco
• Pacific Brain Health & Wellness Inc.
• Pacific Coast Developmental and Behavioral Pediatrics
• Pacific Endodontics, Inc.
• Pacific Family Medical Group
• Pacific Imaging Services (Monterey Advanced Imaging Center)
• Pacific Rehabilitation & Pain
• Jesse Curtis Pack, M.D.

• Orthopaedic Surgery Physician in Monterey, CA
• Providers in Monterey, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.