Look up the most recent NPI and PECOS records

Dave Ravi

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

421 N Brookhurst St Ste 119, Anaheim, CA 92801-5618

PECOS Enrollment

Based on the most recent information from CMS, provider Dave Ravi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1043501364
Provider Type
Individual
Full Name
Ravi, Dave
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/20/2011
Last Updated
7/25/2024

Contact Information

Practice Location

421 N Brookhurst St Ste 119, Anaheim, CA 92801-5618

(714) 361-0898

(714) 276-2604

Mailing Location

1356 Lusitana St, 4th Floor, Honolulu, HI 96813-2409

(808) 586-7445

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A156663 California
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 18107 Hawaii
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Dave Ravi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Liu, Fred

Lee, Jae

Renewed Community Mental Health

Tran, Sinh

Inland Psychiatric Medical Group, Inc

Chin, Kathleen Alison

Gogna, Karun

Conscious Health Care

Stratton, Tyler E

Chargualaf, Jullyn Cabrera