Asha R Ravikumar (NPI# 1124240874, PAC ID# 1052466778) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1124240874 |
| PAC ID by PECOS | 1052466778 |
| Professional Enrollment ID | I20090902000192 |
| Full Name | Asha R Ravikumar |
| Organization Legal Name | SOUTHERN CALIFORNIA KIDNEY CONSULTANTS INC |
| Address |
12665 Garden Grove Blvd Suite 211 Garden Grove CA 92843-1916 |
| Phone Number | 7146362890 |
| Gender | F |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 2004 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6103811286 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050168 | ST JUDE MEDICAL CENTER |
| 050426 | WEST ANAHEIM MEDICAL CENTER |
| 050580 | LA PALMA INTERCOMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 | 7146362890 | SOUTHERN CALIFORNIA KIDNEY CONSULTANTS INC |
| Organization Legal Name | SOUTHERN CALIFORNIA KIDNEY CONSULTANTS INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry Yuan | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Steven Q Bui | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Harmanjit Singh | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Paul P Krasner | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Ramani Nathan | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Ashish H Kalthia | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Jennifer V Stoddard | Nurse Practitioner | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Michael E Arquilla | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Nausheen B Ali | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Nirav O Gandhi | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Street Address |
12665 GARDEN GROVE BLVD SUITE 211 |
| City | GARDEN GROVE |
| State | CA |
| Zip | 92843-1916 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry Yuan | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Annmarie T Nguyen | Obstetrics/gynecology | 12665 Garden Grove Blvd, Suite 611, Garden Grove, CA 92843-1920 | |
| Steven Q Bui | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Adam Nadler | Physical Therapy | Progressive Physical Therapy Plus | 12665 Garden Grove Blvd, Suite 603, Garden Grove, CA 92843-1920 |
| Ryan Taban | Ophthalmology | Orange County Ophthalmology Medical Group. | 12665 Garden Grove Blvd, Suite 401, Garden Grove, CA 92843-1918 |
| Harmanjit Singh | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| George L Mayo | Ophthalmology | 12665 Garden Grove Blvd, Suite 300, Garden Grove, CA 92843-1917 | |
| Hong S Kim | Internal Medicine | 12665 Garden Grove Blvd, Suite 503, Garden Grove, CA 92843-1919 | |
| James D Boyce | Ophthalmology | Orange County Ophthalmology Medical Group. | 12665 Garden Grove Blvd, Suite 401, Garden Grove, CA 92843-1918 |
| Bita A Bagheri | Dermatology | K.alexander Dastgheib M.d. Inc | 12665 Garden Grove Blvd, Suite 301, Garden Grove, CA 92843-1917 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lan Khac Nguyen | General Surgery | Ln Surgery Clinic | 13071 Brookhurst St, Garden Grove, CA 92843-1024 |
| Gregory K. Yun | Chiropractic | 13071 Brookhurst St, Suite 130, Garden Grove, CA 92843-1047 | |
| Khanh Ngoc Tuan Duong | Podiatry | 13071 Brookhurst St, Suite 110, Garden Grove, CA 92843-1047 | |
| Chi H Phung | General Practice | Chi Huu Phung Md Inc | 13155 Brookhurst St, Garden Grove, CA 92843-1080 |
| Truc Huy Dao | Psychiatry | 13071 Brookhurst St, Suite 180, Garden Grove, CA 92843-1097 | |
| Seung Hwan Kim | Oral Surgery | 13252 Century Blvd, Suite Q, Garden Grove, CA 92843-1257 | |
| Vu H Phan | Chiropractic | 13037 Euclid St, Garden Grove, CA 92843-1333 | |
| Tracy T Park | Optometry | 12302 Garden Grove Blvd, Suite 6, Garden Grove, CA 92843-1802 | |
| Minh Ngoc Dang | General Practice | 12302 Garden Grove Blvd, Suite 7, Garden Grove, CA 92843-1833 | |
| Ngoc T Nguyen | Family Medicine | 12302 Garden Grove Blvd, Suite 27, Grdn Grove, CA 92843-1834 | |
| Find all physicians in zip 92843 | |||
| City | GARDEN GROVE |
| Zip Code | 92843 |
| Specialty | NEPHROLOGY |
| City + Specialty | GARDEN GROVE + NEPHROLOGY |
Please comment or provide details below to improve the information on Asha R Ravikumar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.