Organization Active NPI

Ravi K. Singh, M.D., Inc.

  • Diagnostic Radiology Physician
  • Los Gatos, CA
National Provider Identifier
1881971711
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A107654 Issued in CA
Legal business name
RAVI K. SINGH, M.D., INC.
Practice address
15405 Los Gatos Blvd Ste 104
Los Gatos, CA 95032-2500
Phone
(408) 402-0770
NPI assigned
Nov 7, 2011
Last updated
Mar 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Ravi Singh, M.D.NPI 1528214707
Title
President
Phone
(630) 235-0625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A107654 CA Primary

Addresses

Primary practice location

15405 Los Gatos Blvd Ste 104
Los Gatos, CA 95032-2500

Mailing address

15405 Los Gatos Blvd Ste 104
Los Gatos, CA 95032-2500
Phone (408) 402-0770

Other identifiers 1

IdentifierTypeStateIssuer
FV570AOtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120312000723 CA Part B Supplier - Clinic/Group Practice 7810156742 Receives reassigned benefits from 3 practitioners
Practice locations: Los Gatos, CA

National Provider Directory

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1881971711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15405 LOS GATOS BLVD STE 104",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322500",
            "telephone_number": "408-402-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 LOS GATOS BLVD STE 104",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322500",
            "telephone_number": "408-402-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI K. SINGH, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-235-0625",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A107654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FV570A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.