DR. SEAN S. RAVAEI DPM NPI 1568573251

NPI Information

NPI: 1568573251
Provider Name: DR. SEAN S. RAVAEI, DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

PECOS Registration: Yes

Address:
8929 WILSHIRE BLVD
SUITE 102
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 855-8936
Get Directions

DR. Sean S. Ravaei, DPM is a foot surgery podiatrist in Beverly Hills, CA with 27 years of experience. DR. Sean S. Ravaei, DPM NPI is 1568573251. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1997

The provider's business location address is:

8929 WILSHIRE BLVD
SUITE 102
BEVERLY HILLS, CA
ZIP 90211-938
Phone: (310) 855-8936
Fax: (413) 643-6360

The NPI 1568573251 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).

The enumeration date for this NPI number is 8/31/2006 and was last updated on 4/1/2015.

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	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		SC004502L	PENNSYLVANIA	No
2	213ES0131X	Podiatrist	Foot Surgery	E4392	CALIFORNIA	Yes

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	E4392	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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