Anil Ravi Date (NPI# 1972860864, PAC ID# 4688839582) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1972860864 |
| PAC ID by PECOS | 4688839582 |
| Professional Enrollment ID | I20140314000939 |
| Full Name | Anil Ravi Date |
| Address |
11550 Indian Hills Rd Suite 350 Mission Hills CA 91345-1252 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050278 | PROVIDENCE HOLY CROSS MEDICAL CENTER |
| 050624 | HENRY MAYO NEWHALL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11550 Indian Hills Rd, Suite 350, Mission Hills, CA 91345-1252 | ||
| 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 8186394333 | ACE MEDICAL ASSOCIATES INC |
| Street Address |
11550 INDIAN HILLS RD SUITE 350 |
| City | MISSION HILLS |
| State | CA |
| Zip | 91345-1252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Michael Moore | General Surgery | 11550 Indian Hills Rd, Suite 310, Mission Hills, CA 91345-1203 | |
| Pascal Dabel | Nephrology | Kidney Consultants Medical Group Inc | 11550 Indian Hills Rd, Suite 371, Mission Hills, CA 91345-1252 |
| M Reza Nahed | Internal Medicine | 11550 Indian Hills Rd, Suite 301, Mission Hills, CA 91345-1203 | |
| Jeanette E Tang | Optometry | North Valley Eye Medical Group Inc | 11550 Indian Hills Rd, Suite 341, Mission Hills, CA 91345-1203 |
| Brian Shih | Anesthesiology | 11550 Indian Hills Rd, Suite 241, Mission Hills, CA 91345-1202 | |
| Robert J Smyth-medina | Ophthalmology | North Valley Eye Medical Group Inc | 11550 Indian Hills Rd, Suite 341, Mission Hills, CA 91345-1203 |
| Jasvinder S Nangiana | Neurosurgery | Providence Medical Institute | 11550 Indian Hills Rd, Suite 261, Mission Hills, CA 91345-1244 |
| Mohammad M Meratee | Neurology | 11550 Indian Hills Rd, Suite 200, Mission Hills, CA 91345-1202 | |
| Debbie L Welch | Nurse Practitioner | Providence Medical Institute | 11550 Indian Hills Rd, Suite 381, Mission Hills, CA 91345-1252 |
| Scott D Bricker | General Surgery | 11550 Indian Hills Rd, Suite 310, Mission Hills, CA 91345-1203 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarthi Rakshen Shah | Internal Medicine | Facey Medical Foundation | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1115 |
| Simon Dardashti | Anesthesiology | Facey Medical Foundation | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1115 |
| Marina Bourke | Nurse Practitioner | Facey Medical Foundation | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1115 |
| Rohit R Kedia | Endocrinology | Facey Medical Foundation | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1115 |
| Sourabh Suryadevara | Internal Medicine | Facey Medical Foundation | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1115 |
| Nayiri Gharibian | Internal Medicine | Facey Medical Foundation | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1115 |
| Geoffrey Liang | Internal Medicine | Facey Medical Foundation | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1115 |
| Catherine Cho | Pediatric Medicine | Facey Medical Foundation | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1115 |
| Elizabeth M Vitale | Registered Dietitian Or Nutrition Professional | Facey Medical Foundation | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1115 |
| Mark F Simonds | Psychiatry | Facey Medical Foundation | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1115 |
| Find all physicians in zip 91345 | |||
| City | MISSION HILLS |
| Zip Code | 91345 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MISSION HILLS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Anil Ravi Date.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.