DR. JAYDEEP RAVAL D.O. NPI 1104277953

NPI Information

NPI: 1104277953
Provider Name: DR. JAYDEEP RAVAL, D.O.
Classification: Hospitalist - 208M00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1145 STURGIS RD
TWENTYNINE PALMS, CA
ZIP 92277
Phone: (760) 830-2483

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NPI Details

DR. Jaydeep Raval, D.O. is a hospitalist in Twentynine Palms, CA with 10 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. DR. Jaydeep Raval, D.O. NPI is 1104277953. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduation Year:2016

The provider's business location address is:

1145 STURGIS RD
TWENTYNINE PALMS, CA
ZIP 92277
Phone: (760) 830-2483

The NPI 1104277953 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2016 and was last updated on 1/31/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208M00000X	Hospitalist	010017	ARIZONA	Yes
2	171000000X	Military Health Care Provider			No
3	171000000X	Military Health Care Provider	15867	CALIFORNIA	No
4	207R00000X	Internal Medicine	15867	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	VAD0000	OTHER		MILITARY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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