Individual provider Active NPI

Ravi Harshad Dave, MD

  • Cardiovascular Disease Physician
  • Santa Monica, CA
National Provider Identifier
1871519934
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A53150 Issued in CA
Practice address
2020 Santa Monica Blvd Ste 220
Santa Monica, CA 90404-2124
Phone
(310) 582-6220
Fax
(310) 582-6222
NPI assigned
Jul 14, 2006
Last updated
Mar 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A53150 CA
Cardiovascular Disease Physician 207RC0000X A53150 CA Primary

Addresses

Primary practice location

2020 Santa Monica Blvd Ste 220
Santa Monica, CA 90404-2124

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

26585 Agoura Rd Ste 310
Calabasas, CA 91302-1958
Phone (818) 880-0080

Other identifiers 1

IdentifierTypeStateIssuer
00A531500MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090126000750 CA Practitioner - Cardiovascular Disease (Cardiology) 1658435243 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1245 16TH St
Santa Monica, CA 90404-1239

2020 Santa Monica Blvd
Santa Monica, CA 90404-2023

2020 Santa Monica Blvd
Santa Monica, CA 90404-2124

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

2428 Santa Monica Blvd
Santa Monica, CA 90404-2046

7300 Medical Ctr Dr
West Hills, CA 91307-1902
Phone (818) 676-4000

757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 267-9643

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53150CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Internal Medicine CurrentSince Jul 1, 1998 Accepting new patients
UC Regents CurrentSince May 16, 2009 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Sep 9, 2024 Accepting new patients
Martin Luther King Jr Community Medical Foundation Internal Medicine Current Accepting new patients
Martin Luther King Jr Community Medical Foundation Internal Medicine CurrentSince Sep 9, 2024 Accepting new patients
The Regents of the University of California CurrentSince Jul 1, 1998 Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
UCLA Medical Group Internal Medicine Past Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Dignity Health Past Accepting new patients
UCLA Family Practice Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792

200 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-6688

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

File 55737
Los Angeles, CA 90074

1920 Colorado Ave
Santa Monica, CA 90404
Phone (310) 319-4700

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

2020 Santa Monica Blvd
Ste 220
Santa Monica, CA 90404
Phone (310) 582-6220

Interoperability endpoints

  • Direct secure messaging: rdave36438@direct.uclahealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1871519934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SANTA MONICA BLVD STE 220",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042124",
            "telephone_number": "310-582-6220",
            "fax_number": "310-582-6222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26585 Agoura Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913021958",
            "country_code": "US",
            "telephone_number": "818-880-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVE",
        "first_name": "RAVI",
        "middle_name": "HARSHAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53150",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A53150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A531500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.