Active NPI
Anthony S. Ravnik, M.D.
- Internal Medicine Physician
- Oakland, CA
National Provider Identifier
1649388059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A19823
- Practice address
- 424 28TH St
Oakland, CA 94609-3603 - Phone
- (510) 452-4824
- Fax
- (510) 465-4503
- NPI assigned
- Aug 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 | A19823 | CA | Primary |
Addresses
Primary practice location
424 28TH St
Oakland, CA 94609-3603
Mailing address
424 28TH St
Oakland, CA 94609-3603
Phone (510) 452-4824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A19823 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1649388059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 28TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093603",
"telephone_number": "510-452-4824",
"fax_number": "510-465-4503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 28TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093603",
"telephone_number": "510-452-4824",
"fax_number": "510-465-4503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVNIK",
"first_name": "ANTHONY",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-26",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A19823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.