Active NPI
Jayanthi Ravikumar, M.D.
- Physical Medicine & Rehabilitation Physician
- La Palma, CA
National Provider Identifier
1679528053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A33094
- Practice address
- 5451 La Palma Ave
Suite 47
La Palma, CA 90623-1732 - Phone
- (714) 226-0818
- Fax
- (714) 226-0202
- NPI assigned
- May 23, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A33094 | CA | Primary |
Addresses
Primary practice location
5451 La Palma Ave
Suite 47
La Palma, CA 90623-1732
Mailing address
3356 W. Ball Road
Suite 216
Anaheim, CA 92804
Phone (714) 226-0818
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Rehabilitation Medical Group, Inc. | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Geller Medical Corporation | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Anaheim Memorial Medical Center | Past | Accepting new patients | |
| Cerritos Dialysis Center LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cerritos, CA
- NPI 1649298522
-
- Physical Medicine & Rehabilitation Physician
- San Diego, CA
- NPI 1639258239
-
- Physical Medicine & Rehabilitation Physician
- Colton, CA
- NPI 1134176225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1679528053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3356 W. BALL ROAD",
"address_2": "SUITE 216",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92804",
"telephone_number": "714-226-0818",
"fax_number": "714-226-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5451 LA PALMA AVE",
"address_2": "SUITE 47",
"city": "LA PALMA",
"state": "CA",
"postal_code": "906231732",
"telephone_number": "714-226-0818",
"fax_number": "714-226-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVIKUMAR",
"first_name": "JAYANTHI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A33094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Palma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.