| Anil Ravi Date, MD | |
|
27141 Hidaway Ave Ste 106, Canyon Country, CA 91351-4135 | |
| (818) 220-5209 | |
| Not Available |
| Full Name | Anil Ravi Date |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 19 Years |
| Location | 27141 Hidaway Ave Ste 106, Canyon Country, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972860864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | A125970 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Holy Cross Medical Center | Mission hills, CA | Hospital |
| Entity Name | Providence Facey Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822 |
| Entity Name | Hospitalist Medicine Physicians Of California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184663965 PECOS PAC ID: 8426062027 Enrollment ID: O20060202000956 |
| Entity Name | Ace Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639425663 PECOS PAC ID: 5698925576 Enrollment ID: O20121031000148 |
| Entity Name | Kansal Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043510183 PECOS PAC ID: 6406089739 Enrollment ID: O20140512001295 |
| Entity Name | Horizon Multicare Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598130569 PECOS PAC ID: 5294033734 Enrollment ID: O20160415001483 |
| Entity Name | Dr Anil Date Md |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912411885 PECOS PAC ID: 5496018236 Enrollment ID: O20180410000404 |
| Entity Name | Comprehensive Hospitalist & Ambulatory Physicians-hospitalists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639664030 PECOS PAC ID: 4082958665 Enrollment ID: O20181209000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Anil Ravi Date, MD 27141 Hidaway Ave Ste 106, Canyon Country, CA 91351-4135 Ph: (612) 528-4696 | Anil Ravi Date, MD 27141 Hidaway Ave Ste 106, Canyon Country, CA 91351-4135 Ph: (818) 220-5209 |
Navid H. Massoudi, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 17909 Soledad Canyon Rd, Canyon Country, CA 91387 Phone: 661-250-5230 | |
Vernon Henry Lackman, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 17909 Soledad Canyon Rd, Canyon Country, CA 91387 Phone: 661-250-5244 Fax: 661-251-7308 | |
Erik E Davydov, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 17909 Soledad Canyon Rd, Canyon Country, CA 91387 Phone: 661-250-5230 Fax: 661-250-5275 | |
Anush Hasratyan, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 17909 Soledad Canyon Rd, Canyon Country, CA 91387 Phone: 661-250-5230 Fax: 661-250-5283 | |
Dr. Shamsundar Ramrattan, D.O. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 28504 Colhary Ct, Canyon Country, CA 91387 Phone: 661-252-7580 | |
Jin A Hur, D.O. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 14550 W Soledad Anyon Rd, Canyon Country, CA 91387 Phone: 661-250-5200 | |
Maria Rosario Zambrano, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 17909 Soledad Canyon Rd, Canyon Country, CA 91387 Phone: 661-250-5232 Fax: 661-250-5210 |