Active NPI
Behdad Hamidi Ravari, M.D.
- Physical Medicine & Rehabilitation Physician
- Laguna Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A130673
- Practice address
- 24452 Health Center Dr
Laguna Hills, CA 92653-3604 - Phone
- (949) 552-5572
- Fax
- (800) 756-8714
- NPI assigned
- Aug 24, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | A130673 | CA | Primary |
Addresses
Primary practice location
24452 Health Center Dr
Laguna Hills, CA 92653-3604
Mailing address
15642 Sand Canyon Ave Unit 54264
Irvine, CA 92619-5445
Phone (949) 836-2529
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A130673 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultimate Physical Medicine & Rehabilitation Apc | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
15642 Sand Canyon Ave
Unit 54264
Irvine, CA 92619
33 Creek Rd
Ste 260
Irvine, CA 92604
Phone (949) 552-5572
24452 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 630-0584
25652 Old Trabuco Rd
Lake Forest, CA 92630
Phone (949) 380-9380
2929 Westminster Ave
Unit 3537
Seal Beach, CA 90740
Interoperability endpoints
- behdad.ravari@697311328272388.direct.elationemr.com
- bhamidiravani174118@direct.memorialcare.org
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Irvine, CA
- NPI 1093186371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1881974699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15642 SAND CANYON AVE UNIT 54264",
"city": "IRVINE",
"state": "CA",
"postal_code": "926195445",
"telephone_number": "949-836-2529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24452 HEALTH CENTER DR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533604",
"telephone_number": "949-552-5572",
"fax_number": "800-756-8714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVARI",
"first_name": "BEHDAD",
"middle_name": "HAMIDI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-24",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A130673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.