RAVI KUMAR BERRY (NPI# 1407838220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407838220 |
| Entity Type | Individual |
| Full Name | RAVI KUMAR BERRY |
| Credential | MD |
| Practice Address |
7117 Brockton Ave Riverside CA 92506-2615 |
| Mailing Address |
7117 Brockton Ave Riverside CA 92506-2658 |
| Practice Telephone | 9517823690 |
| Practice Fax Number | 9517843256 |
| Mailing Telephone | 9517823690 |
| Mailing Fax Number | 9512740403 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | A42441 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
A42441 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP NPI | 1730180415 | 01 |
| GROUP SITE NUMBER | ZZZ318877 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700929049 | Ravi B Berry | Psychiatry & Neurology | 6200 Colerain Ave, Cincinnati, OH 45239-6420 | 2007-02-15 |
| Street Address |
7117 BROCKTON AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689673626 | Nardo Barrameda Buena | Family Medicine | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2005-07-20 |
| 1174186910 | Brenda Patricia Okware | Nurse Practitioner | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2019-04-17 |
| 1174049878 | Amy Dawn Causey | Nurse Practitioner | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2017-08-15 |
| 1083137269 | Sandra Garcia Soriano | Registered Nurse | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2017-07-19 |
| 1316471865 | May Leng | Pharmacist | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2017-04-11 |
| 1861931230 | Stephanie Nicole Vasquez | Nurse Practitioner | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2017-02-18 |
| 1730634270 | Kaely Owen | Registered Nurse | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2016-08-24 |
| 1528416245 | Robert Vela | Family Medicine | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2016-06-03 |
| 1306291299 | Joy Hong | Student in an Organized Health Care Education/Training Program | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2016-04-28 |
| 1346694320 | Jackie Shin | Pharmacist | 7117 Brockton Ave, Riverside, CA 92506-2658 | 2016-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134531254 | Mary Catherine Sawh | Pediatrics | 1625 Stockton Blvd Ste 105, Sacramento, CA 95816-7098 | 2014-05-22 |
| 1477899474 | Thomas W Self | Pediatrics | 7514 Girard Ave Ste 1, La Jolla, CA 92037-5199 | 2012-12-19 |
| 1174882047 | Marwa Abu El Haija | Pediatrics | 3801 Sacramento St Ste 216, San Francisco, CA 94118 | 2012-05-11 |
| 1518251636 | Travis Loyd Piester | Pediatrics | 4650 W Sunset Blvd # Ms 76, Los Angeles, CA 90027-6062 | 2011-06-06 |
| 1235422197 | Emily Whang | Pediatrics | 10833 Le Conte Ave # 12-383, Los Angeles, CA 90095-2804 | 2011-05-25 |
| 1851616056 | Kelly Beth Haas | Pediatrics | 2516 Stockton Blvd Ste 367, Sacramento, CA 95817-2208 | 2010-03-30 |
| 1538490230 | Pediatric Gastroenterology of Monterey Inc. | Pediatrics | 1900 Garden Road Suite 110, Pediatric Group of Monterey, Monterey, CA 93940 | 2010-01-19 |
| 1750562864 | Fadi G. Haddad, Md, Inc | Pediatrics | 1455 Montego, Suite 101, Walnut Creek, CA 94598 | 2007-11-16 |
| 1558490912 | Khyati Pravin Mehta | Pediatrics | 25845 Barton Rd Ste 101, Loma Linda, CA 92354-5300 | 2007-03-03 |
| 1841341427 | Walter Edward Benkert Sipe | Pediatrics | 500 Parnasus Ave, Box 0136, San Francisco, CA 94143-0136 | 2007-01-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.