Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anil Ravi Date, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1972860864

Anil Ravi Date, MD is an Internal Medicine in Canyon Country, California. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

27141 Hidaway Ave Ste 106
Canyon Country, CA 91351-4135
Phone: (818) 220-5209
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence A125970 (CA)

Record details

NPI number1972860864
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2012
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023
Mailing address27141 Hidaway Ave Ste 106, Canyon Country, CA 91351-4135

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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