Ravi Mandapati
M.D. | Pediatrics | Male
Ravi Mandapati, M.D. is a Loma Linda, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Ravi Mandapati is
11370 Anderson St, Ste B-100, Loma Linda, California - 92354-3450. He can be contacted on phone at
909-558-2848.
Ravi Mandapati is a sole proprietor of his business.
NPI number (Unique professional ID) for Ravi Mandapati is
1639199565 which was assigned by NPPES on 21 Jul, 2006 and it was last updated on 09 Feb, 2010.
Ravi Mandapati license number is
A77168 for Pediatrics (208000000X) in California.
Ravi Mandapati is a pediatrician who 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.
Complete Profile:
Ravi Mandapati basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Ravi Mandapati |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Ravi Mandapati address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11370 Anderson St, Ste B-100
Loma Linda, CA, 92354-3450
United States |
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| Phone Number : | 909-558-2848 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1639199565 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Jul, 2006 |
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| Last Updated On : | 09 Feb, 2010 |
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Medicare Participation:
Ravi Mandapati participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8426113275 |
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| Medicare Enrollment ID : | I20090211000681 |
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| Primary Specialty : | Cardiac Electrophysiology |
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| Medical School : | Other |
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| Graduation Year : | 1990 |
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| Accepts Medicare? | Yes. Ravi Mandapati accepts medicare insurance. |
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Group Practice Association:
Ravi Mandapati is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Ravi Mandapati is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1049 | 901 San Bernardino Rd
Suite 104and302
Upland, CA - 917864912
Ph: 9095584000 | Yes |
| Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1049 | 18310 Hwy 18
Suite 200
Apple Valley, CA - 923072206
Ph: 9095582822 | Yes |
| Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1049 | 11234 Anderson St
Loma Linda, CA - 923542804 | Yes |
| Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1049 | 11370 Anderson St
Loma Linda, CA - 923543450 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ravi Mandapati are as mentioned. Primary taxonomy code for Ravi Mandapati, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207RC0000X | Internal Medicine Cardiovascular Disease | No | A77168 | CA |
| 207RC0001X | Internal Medicine Clinical Cardiac Electrophysiology | No | A77169 | CA |
| 208000000X | Pediatrics | Yes | A77168 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Ravi Mandapati such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00A771680 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 54701 File Number
Los Angeles, CA, 90074-4701
United States |
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| Phone Number : | 909-558-3111 |
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Business Location:
Patients can refer following map for directions to
Ravi Mandapati practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.