Ravikumar Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A29509 Issued in CA

Legal business name

RAVIKUMAR MEDICAL CORPORATION

Practice address

5451 La Palma Ave
Suite 47
La Palma, CA 90623-1728

Phone

(714) 226-0818

Fax

(714) 226-0202

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gadsalli Ravikumar, M.D.

Title

President

Phone

(714) 562-8562

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1730452616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3356 W BALL RD",
            "address_2": "SUITE 216",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043702",
            "telephone_number": "714-562-8562",
            "fax_number": "714-226-0818"
        },
        {
            "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": "906231728",
            "telephone_number": "714-226-0818",
            "fax_number": "714-226-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVIKUMAR MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "RAVIKUMAR",
        "authorized_official_first_name": "GADSALLI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-562-8562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A29509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana L Ramos
• Angelica Marie Rangel
• Rapha Acu and Chiro Inc
• Daniel Rasool
• Dwight Ratliff
• Jayanthi Ravikumar, M.D.
• Isabella G Rebollar
• Alyssa Michele Recio
• Regina Tan DDS Inc.
• Keith William Regula, PTA

• Specialist in La Palma, CA
• Providers in La Palma, CA by specialty
• Specialist in California

• 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.

Verify at the official NPI Registry.