John Ravera (NPI# 1558347674, PAC ID# 2668623893) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OSTEOPATHIC MANIPULATIVE MEDICINE.
| Nation Provider ID (NPI) | 1558347674 |
| PAC ID by PECOS | 2668623893 |
| Professional Enrollment ID | I20121115000247 |
| Full Name | John Ravera |
| Organization Legal Name | UROLOGICAL MEDICAL GROUP OF NORTH ORANGE COUNTY |
| Address |
301 W Bastanchury Rd Ste180 Fullerton CA 92835-3427 |
| Phone Number | 7148705970 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1965 |
| Primary Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 4082719810 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 301 W Bastanchury Rd, Ste180, Fullerton, CA 92835-3427 | 7148705970 | UROLOGICAL MEDICAL GROUP OF NORTH ORANGE COUNTY |
| Organization Legal Name | UROLOGICAL MEDICAL GROUP OF NORTH ORANGE COUNTY |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Gazzaniga | Urology | Urological Medical Group of North Orange County | 301 W Bastanchury Rd, Ste180, Fullerton, CA 92835-3427 |
| Eric Brandon Tygenhof | Urology | Urological Medical Group of North Orange County | 301 W Bastanchury Rd, Ste180, Fullerton, CA 92835-3427 |
| Alan C Weinberg | Urology | Urological Medical Group of North Orange County | 301 W Bastanchury Rd, Ste180, Fullerton, CA 92835-3427 |
| Street Address |
301 W BASTANCHURY RD STE180 |
| City | FULLERTON |
| State | CA |
| Zip | 92835-3427 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick R Dahl | Dermatology | Accredited Dermatology Medical Clinic Inc | 301 W Bastanchury Rd, Suite 245, Fullerton, CA 92835-3430 |
| Scott Grant | Ophthalmology | Retina Consultants of Orange County, A Medical Corporation | 301 W Bastanchury Rd, Suite 285, Fullerton, CA 92835-3432 |
| Kristina A Holmkvist | Dermatology | Accredited Dermatology Medical Clinic Inc | 301 W Bastanchury Rd, Suite 245, Fullerton, CA 92835-3430 |
| Michael S Gazzaniga | Urology | Urological Medical Group of North Orange County | 301 W Bastanchury Rd, Ste180, Fullerton, CA 92835-3427 |
| Eric Brandon Tygenhof | Urology | Urological Medical Group of North Orange County | 301 W Bastanchury Rd, Ste180, Fullerton, CA 92835-3427 |
| Vikram Hatti | Diagnostic Radiology | Advanced Memorial Imaging Group, A Medical Corporation | 301 W Bastanchury Rd, Suite 130, Fullerton, CA 92835-3423 |
| John E Esser | Optometry | John D Zdral Md Inc | 301 W Bastanchury Rd, Suite 10, Fullerton, CA 92835-3422 |
| John D Zdral | Ophthalmology | John D Zdral Md Inc | 301 W Bastanchury Rd, Suite 10, Fullerton, CA 92835-3422 |
| Alan C Weinberg | Urology | Urological Medical Group of North Orange County | 301 W Bastanchury Rd, Ste180, Fullerton, CA 92835-3427 |
| Taylor H Tang | Cardiac Surgery | Orange County Thoracic and Cardiovascular Surgeons A Med Corp | 301 W Bastanchury Rd, Suite 195, Fullerton, CA 92835-3427 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard Dedes | Interventional Pain Management | 295 Imperial Hwy, Suite 100, Fullerton, CA 92835-1020 | |
| Alvaro O Liceaga | Interventional Pain Management | 295 Imperial Hwy 100, Fullerton, CA 92835-1020 | |
| Sara Said | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Stella R Vargas | Physical Therapy | 373 Imperial Hwy, Fullerton, CA 92835-1040 | |
| Johnson L Moon | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Priscilla P Armstrong | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Margaret M Slaven | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Manpreet Kaur Multani | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Eileen S Kang | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Kiran Bath | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Find all physicians in zip 92835 | |||
| City | FULLERTON |
| Zip Code | 92835 |
| Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| City + Specialty | FULLERTON + OSTEOPATHIC MANIPULATIVE MEDICINE |
Please comment or provide details below to improve the information on John Ravera.
| 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.