Active NPI
Alan Jan Ravitch, PHARMD
- Pharmacist
- Yorba Linda, CA
National Provider Identifier
1922373471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26288
- Practice address
- 22633 Savi Ranch Pkwy
Yorba Linda, CA 92887-4647 - Phone
- (714) 279-1580
- NPI assigned
- Mar 16, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26288 | CA | Primary |
Addresses
Primary practice location
22633 Savi Ranch Pkwy
Yorba Linda, CA 92887-4647
Mailing address
2081 N Vallejo Way
Upland, CA 91784-1437
Phone (909) 285-6776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26288 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331856000000",
"number": "1922373471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2081 N VALLEJO WAY",
"city": "UPLAND",
"state": "CA",
"postal_code": "917841437",
"telephone_number": "909-285-6776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22633 SAVI RANCH PKWY",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928874647",
"telephone_number": "714-279-1580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVITCH",
"first_name": "ALAN",
"middle_name": "JAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-16",
"last_updated": "2012-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "26288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yorba Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.