Individual provider Active NPI

Ragu Sivarajan, D.O,.

  • Internal Medicine Physician
  • Fontana, CA
National Provider Identifier
1902246523
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A14906 Issued in CA
Practice address
16465 Sierra Lakes Pkwy Ste 245
Fontana, CA 92336-1267
Phone
(909) 330-3939
NPI assigned
Jun 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A14906 CA Primary

Addresses

Primary practice location

16465 Sierra Lakes Pkwy Ste 245
Fontana, CA 92336-1267

Mailing address

PO Box 3282
Rancho Cucamonga, CA 91729-3282
Phone (909) 330-3939

Other practice location 1

330 E 7th St Fl 2
Upland, CA 91786-6740
Phone (909) 330-3939

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
I20220705001570 CA Practitioner - Internal Medicine 5991087942 Reassigns benefits to 5 organizations
Practice locations: Ontario, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

Practice addresses (Care Compare)

1304 W Holt Blvd
Suite a
Ontario, CA 91762-3640
Phone (909) 330-3939

1805 Medical Ctr Dr
San Bernardino, CA 92411-1217
Phone (909) 887-6333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14906CAMDAddiction (Substance Use Disorder) Counselor
20A14906CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Jan 22, 2024 Accepting new patients
Golden State Medical Group CurrentSince May 12, 2024 Accepting new patients
Wound Healing Care Specialists, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Jan 4, 2023 Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Caremore Health Plan PastSince Jul 1, 2019 Accepting new patients
UCLA Medical Group Internal Medicine Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

4959 Palo Verde St
Ste 206A-5
Montclair, CA 91763
Phone (909) 694-4016

3536 Concours
Ste 225
Ontario, CA 91764
Phone (314) 699-9181

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJBCDD/Endpoint/FJBCDD
  • Direct secure messaging: ragu.sivarajan.p1@direct.caremorewest.nextgenshare.com

Organizations & group practices 8

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.

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1902246523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3282",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917293282",
            "telephone_number": "909-330-3939",
            "fax_number": "909-352-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16465 SIERRA LAKES PKWY STE 245",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361267",
            "telephone_number": "909-330-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 E 7th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917866740",
            "country_code": "US",
            "telephone_number": "909-330-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVARAJAN",
        "first_name": "RAGU",
        "name_prefix": "Dr.",
        "credential": "D.O,.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A14906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.