Dr Usha Ravi, MD | |
15230 Lakeshore Dr, Clearlake, CA 95422-8107 | |
(707) 995-4500 | |
(707) 994-2401 |
Full Name | Dr Usha Ravi |
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Gender | Female |
Speciality | Pediatrics |
Location | 15230 Lakeshore Dr, Clearlake, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275182362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A176118 (California) | Primary |
Entity Name | Adventist Health Clearlake Hospital Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573 |
Entity Name | Adventist Health Physicians Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
Mailing Address | Practice Location Address |
---|---|
Dr Usha Ravi, MD 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: (707) 995-4500 | Dr Usha Ravi, MD 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: (707) 995-4500 |
Putue Teh, PA Pediatrics Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4545 | |
Dr. Morton S Levine, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-995-4560 | |
Dr. Elsa M Valdivia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-994-2401 | |
Dr. David Golergant, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4530 Fax: 707-995-4560 | |
Dr. Luis Arturo Diaz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 Fax: 707-995-4560 |