Anil Ravi Date, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

A125970 Issued in CA

Practice address

27141 Hidaway Ave Ste 106
Canyon Country, CA 91351-4135

Phone

(818) 220-5209

NPI assigned

Apr 16, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal MedicineAlso: Geriatric Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Broadview Home Health, Inc. Home health agency, Glendale, CA, CCN 757711
• Empyrean Hospice & Palliative Care, Inc Hospice, Van Nuys, CA, CCN B31776
• Care Solution Hospice, Inc. Hospice, Burbank, CA, CCN B21713
• Studio Care Hospice Inc Hospice, Van Nuys, CA, CCN B21678
• S & M Hospice, Inc Hospice, Studio City, CA, CCN B31619
• Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278
• Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Aster Home Health, Inc.

  • Home Health Agency
  • Agoura Hills, CA
  • NPI 1750974788

  W-2 Managing Employee

  CMS ownership

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.

• Dr Anil Date MD

  • Family Medicine Physician
  • Mission Hills, CA
  • NPI 1912411885
  Medicare reassignment Authorized official
• Comprehensive Hospitalist & Ambulatory Physicians-Hospitalists

  • Hospitalist Physician
  • Sherman Oaks, CA
  • NPI 1639664030
  Medicare reassignment NPD
• Horizon Multicare Group Inc

  • Internal Medicine Physician
  • Lancaster, CA
  • NPI 1598130569
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of California, Inc

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1184663965

  Family Medicine

  Medicare reassignment NPD
• Kansal Inc

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1043510183

  Family Medicine

  Medicare reassignment NPD
• Providence Facey Medical Foundation

  • Internal Medicine Physician
  • Valencia, CA
  • NPI 1710031588

  Family Medicine

  Medicare reassignment NPD
• Providence Facey Medical Foundation

  • Multi-Specialty Clinic/Center
  • Irvine, CA
  • NPI 1891348447
  NPD
• Providence Facey Medical Foundation

  • Urgent Care Clinic/Center
  • Santa Clarita, CA
  • NPI 1922651561
  NPD
• Henry Mayo Newhall Memorial Hospital

  • General Acute Care Hospital
  • Valencia, CA
  • NPI 1780668434
  NPD (past)
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Care Solution Hospice Inc

  • Community Based Hospice Care Agency
  • Burbank, CA
  • NPI 1134778608
  Care Compare affiliation Name & address match
• Empyrean Hospice and Palliative Care Inc

  • Community Based Hospice Care Agency
  • Van Nuys, CA
  • NPI 1891307179
  Care Compare affiliation Name & address match
• S&M Hospice Inc

  • Community Based Hospice Care Agency
  • Studio City, CA
  • NPI 1073111050
  Care Compare affiliation Name & address match
• Broadview Home Health, Inc.

  • Home Health Agency
  • Glendale, CA
  • NPI 1205582905
  Care Compare affiliation
• Henry Mayo Newhall Memorial Hospital

  • General Acute Care Hospital
  • Valencia, CA
  • NPI 1780668434
  Care Compare affiliation
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  Care Compare affiliation

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1972860864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE STE 106",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514135",
            "telephone_number": "612-528-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27141 HIDAWAY AVE STE 106",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913514135",
            "telephone_number": "818-220-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATE",
        "first_name": "ANIL",
        "middle_name": "RAVI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A125970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Coyoy Menchu, LCSW
• Darian Lee Cruz
• Leah Cseh
• Ali Dabirian
• Michael Jamil Dalali, M.D.
• Pravin Ravi Date, M.D.
• Erik E Davydov, M.D.
• Lissette De Leon, MFT
• Ruben Del Real
• Doreen Linn Delgado, N.P.

• Geriatric Medicine (Internal Medicine) Physician in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.