Individual provider Active NPI

Ross R Ravin, MD

  • Anesthesiology Physician
  • Beverly Hills, CA
National Provider Identifier
1629181730
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G81544 Issued in CA
Practice address
9001 Wilshire Blvd Ste 100
Beverly Hills, CA 90211-1840
Phone
(310) 275-2339
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G81544 CA Primary

Addresses

Primary practice location

9001 Wilshire Blvd Ste 100
Beverly Hills, CA 90211-1840

Mailing address

PO Box 25033
Santa Ana, CA 92799-5033
Phone (714) 347-1010

Other practice location 1

8670 Wilshire Blvd Ste 300
Beverly Hills, CA 90211-2930
Phone (310) 275-1646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040318000531 CA Practitioner - Anesthesiology 5698665123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G81544CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Anesthesia Partnership Anesthesiology CurrentSince Oct 1, 2005 Accepting new patients
Regents of the University of California Anesthesiology Past Accepting new patients
General Anesthesia Specialists Partnership Medical Group Anesthesiology Past Accepting new patients

Locations

9001 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 275-1646

9675 Brighton Way
Ste 100
Beverly Hills, CA 90210
Phone (310) 205-7310

8670 Wilshire Blvd
Ste 301
Beverly Hills, CA 90211
Phone (310) 659-6333

8670 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (310) 275-1646

16501 Ventura Blvd
Ste 103
Encino, CA 91436
Phone (310) 659-6333

1090 Glendon Ave
Los Angeles, CA 90024
Phone (310) 209-6500

210 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 347-1000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1629181730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25033",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927995033",
            "telephone_number": "714-347-1010",
            "fax_number": "714-347-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111840",
            "telephone_number": "310-275-2339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8670 Wilshire Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902112930",
            "country_code": "US",
            "telephone_number": "310-275-1646",
            "fax_number": "310-659-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVIN",
        "first_name": "ROSS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G81544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.