NPIMap

Individual provider Active NPI

Mehul Raval, MD

  • Nephrology Physician
  • Stockton, CA
National Provider Identifier
1710157474
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A105804 Issued in CA
Practice address
1801 E March LN Ste B265
Stockton, CA 95210-6655
Phone
(209) 546-1868
Fax
(209) 461-6505
NPI assigned
Mar 8, 2008
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A105804 CA Primary

Addresses

Primary practice location

1801 E March LN Ste B265
Stockton, CA 95210-6655

Mailing address

1801 E March LN Ste B265
Stockton, CA 95210-6655
Phone (209) 546-1868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090113000257 CA Practitioner - NephrologyPractitioner - Internal Medicine 4486717741 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Joaquin Kidney Clinic, IncGroup PAC ID 8527009158, 8 clinicians
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians

Practice addresses (Care Compare)

1801 E March LN
Suite B265
Stockton, CA 95210-6655
Phone (209) 546-1868

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Faculty Medical Group CurrentSince Aug 6, 2017 Accepting new patients
San Joaquin Kidney Clinic, Inc CurrentSince May 23, 2022 Accepting new patients
County of San Joaquin CurrentSince Aug 6, 2017 Accepting new patients
County of San Joaquin CurrentSince Aug 6, 2017 Accepting new patients
Naadi Manteca ASC PastSince Jun 1, 2021 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Delta Sierra Medical Group, Inc PastSince Dec 7, 2025 Accepting new patients
San Joaquin General Hospital Dialysis Clinic Past Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

801 S Ham Ln
Ste J
Lodi, CA 95242
Phone (209) 369-7336

1801 E March Ln
Ste B265
Stockton, CA 95210
Phone (209) 369-7336

1530 Bessie Ave
Ste 107
Tracy, CA 95376
Phone (209) 834-1443

2160 W Grant Line Rd
Ste 200
Tracy, CA 95377
Phone (209) 831-9923

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mraval371904@hisp.ehr.sutterhealth.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1204934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1710157474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE B265",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106655",
            "telephone_number": "209-546-1868",
            "fax_number": "209-461-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE B265",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106655",
            "telephone_number": "209-546-1868",
            "fax_number": "209-461-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVAL",
        "first_name": "MEHUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-08",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A105804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.