RAVI R PATEL M.D.
NPI 1376836460
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fontana, CA

Q: What is Ravi Patel's NPI number?

The NPI number for Ravi Patel is 1376836460. It was assigned to this individual provider in the NPPES registry on May 23, 2011. The provider is also known as Ravindrakumar Patel M.D..

Q: What is Ravi Patel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Ravi Patel was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 23, 2011PECOS Enrolled

17053 FOOTHILL BLVD, FONTANA, CA 92335(909) 347-1300 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2022, Aug 8, 2019, Mar 29, 2018 (3 updates tracked since 2018).

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About Ravi R Patel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVI R PATEL M.D. (NPI 1376836460) is an individual child & adolescent psychiatry provider in Fontana, California, licensed in California (A128340) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376836460

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameRAVI R PATELCredential: M.D.

Location Address17053 FOOTHILL BLVDFontana, CA 92335-3574

Mailing Address17053 Foothill BlvdFontana, CA 92335-3574 · (909) 347-1300

Phone(909) 347-1300

Sole ProprietorNo

Enumeration DateMay 23, 2011

Last NPPES UpdateDecember 29, 20223 updates tracked since enumeration

NPPES CertifiedDecember 29, 2022

✔ NPI 1376836460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in CA · A128340

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

17053 FOOTHILL BLVD, Fontana, CA 92335

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Other Names 1

Former Name (1)Ravindrakumar Patel M.d.

Secondary Practice Locations 2

Location 1108 W Victoria StGardena, CA 90248-3523 · Phone (310) 715-2020

Location 2525 Technology Ct Ste 102Riverside, CA 92507-2181 · Phone (951) 686-8500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ravi R Patel M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMA NOELLE SCHNEIDER

Rehabilitation Practitioner