Individual provider Active NPI

James Michael Raveret, M.D.

  • Family Medicine Physician
  • Merced, CA
National Provider Identifier
1972801249
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
GFE23545 Issued in CA
Practice address
3020 N. Rambler Rd.
Merced, CA 95348-3223
Phone
(209) 722-0996
NPI assigned
Mar 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X GFE23545 CA Primary

Addresses

Primary practice location

3020 N. Rambler Rd.
Merced, CA 95348-3223

Mailing address

3020 N. Rambler Rd.
Merced, CA 95348-3223
Phone (209) 722-0996

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
I20150622001385 CA Order and Referring Only - Family PracticePractitioner - Family Practice 4082925730

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23545CAMDClinical Psychologist
GFE23545CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1972801249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 N. RAMBLER RD.",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483223",
            "telephone_number": "209-722-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 N. RAMBLER RD.",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483223",
            "telephone_number": "209-722-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVERET",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "GFE23545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.