RAVI MANDAPATI (NPI# 1639199565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639199565 |
| Entity Type | Individual |
| Full Name | RAVI MANDAPATI |
| Credential | M.D. |
| Practice Address |
11370 Anderson St Ste B-100 Loma Linda CA 92354-3450 |
| Mailing Address |
54701 File Number Los Angeles CA 90074-4701 |
| Practice Telephone | 9095582848 |
| Mailing Telephone | 9095583111 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A77168 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
A77169 | CA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | A77168 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A771680 | 05 |
| Street Address |
11370 ANDERSON ST STE B-100 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154310860 | Nerida T Bates | Pediatrics | 11370 Anderson St, Ste B-100, Loma Linda, CA 92354-3450 | 2005-10-14 |
| 1922520709 | Jodi Datema | Speech-Language Pathologist | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2017-07-12 |
| 1619419066 | Diana Can | Nurse Practitioner | 11370 Anderson St, Suite 2050, Loma Linda, CA 92354-3450 | 2016-11-15 |
| 1356710875 | Jody Michelle Gonzalez | Pharmacist | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2015-09-15 |
| 1558749382 | Stephanie Laroche Fegale | Obstetrics & Gynecology | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2015-05-13 |
| 1033597018 | Craig Antone White | Ophthalmology | 11370 Anderson St, Loma Linda, CA 92354 | 2015-05-11 |
| 1104246016 | Juthamas Kositsawat | Obstetrics & Gynecology | 11370 Anderson St, Loma Linda, CA 92354 | 2014-04-17 |
| 1972941037 | Allie Ann Maus | Audiologist | 11370 Anderson St, Suite 2100, Loma Linda, CA 92354-3450 | 2013-06-11 |
| 1578908240 | Anh Nguyen Do | Dentist | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2013-05-07 |
| 1376803288 | Philip David Eaton | Radiology | 11370 Anderson St, Loma Linda, CA 92354-3450 | 2012-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548790926 | Michael Andaya | Pediatrics | 11175 Campus St Coleman Pavilion A1111, Loma Linda, CA 92350-0001 | 2017-06-18 |
| 1144754771 | Shirin Ruth Degiorgio | Pediatrics | 11234 Anderson St # A1111, Loma Linda, CA 92354-2804 | 2017-04-20 |
| 1730612821 | Vallent Lee | Pediatrics | 11175 Campus Street Coleman Pavilion A1121, Loma Linda, CA 92350-2804 | 2017-04-06 |
| 1497288724 | Kelly Alyssa Jeu | Pediatrics | 11234 Anderson St # General, Loma Linda, CA 92354-2804 | 2017-04-04 |
| 1124415468 | Christopher Jay Siplon | Pediatrics | 11234 Anderson Street, Gme Office, Westerly Suite C, Loma Linda, CA 92354-2804 | 2015-04-24 |
| 1235525403 | Diana Derosa Villarreal | Pediatrics | 11175 Campus St. Cp-a1111, Department of Pediatrics, Loma Linda, CA 92350 | 2015-04-14 |
| 1487061834 | Abdullah Khan | Pediatrics | 11234 Anderson St Rm A890a, Loma Linda, CA 92354-2804 | 2014-07-17 |
| 1265867683 | Ali Kemal Ozcan | Pediatrics | Loma Linda Children's Hospital Pediatric Emergency, 11234 Anderson St, Loma Linda, CA 92354 | 2013-09-04 |
| 1871857227 | Shelly Chatterjee Choudhury | Pediatrics | 25845 Barton Rd Ste F, Loma Linda, CA 92354 | 2012-06-30 |
| 1417142209 | Meredith I Clayton | Pediatrics | Llu Preventive Medicine Residency Program, Nichol Hall #1516, Loma Linda, CA 92350-0001 | 2007-09-13 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.