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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Ravi Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of San Bernardino
Same address
Community/Behavioral Health
17053 E. FOOTHILL BLVD., BUILDING B
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 233 clinicians in this Medicare group
NPI 1033320940 (909) 347-1300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

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

EMMA NOELLE SCHNEIDER
Rehabilitation Practitioner
17053 FOOTHILL BLVD
FONTANA, CA 92335
San Bernardino County (909) 347-1300
MARIA LOURDES AVILA
Peer Specialist
17053 FOOTHILL BLVD
FONTANA, CA 92335
San Bernardino County (909) 329-1636
RAHAT WHIG DO
Psychiatry & Neurology (Psychiatry)
17053 FOOTHILL BLVD
FONTANA, CA 92335
San Bernardino County (909) 347-1300
KENNYANNA JEFFERSON
Social Worker (Clinical)
17053 FOOTHILL BLVD
FONTANA, CA 92335
San Bernardino County (909) 347-1300
CLAUDIA JESSICA SILVA
Student in an Organized Health Care Education/Training Program
17053 FOOTHILL BLVD
FONTANA, CA 92335
San Bernardino County (909) 347-1300
JONAH WILLIAMS
Community Health Worker
17053 FOOTHILL BLVD
FONTANA, CA 92335
San Bernardino County (909) 347-1300
ABIGAIL C CANEDO
Community Health Worker
17053 FOOTHILL BLVD
FONTANA, CA 92335
San Bernardino County (909) 347-1341
NICHOLAS HORTON
Community Health Worker
17053 FOOTHILL BLVD
FONTANA, CA 92335
San Bernardino County (909) 347-1300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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..

Where is Ravi Patel located?

Ravi Patel practices at 17053 Foothill Blvd, Fontana, CA 92335. The listed phone number is (909) 347-1300.

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.

Is Ravi Patel enrolled in Medicare?

Yes. Ravi Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ravi Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ravi Patel reassigns Medicare benefits to County Of San Bernardino (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ravi Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.