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

Divya T Raviendran, MD

Individual provider Family Medicine Physician · NPI 1639106610

Divya T Raviendran, MD is a Family Practice in San Ramon, California. Qualified in 1999, 27 years ago. Practices with One Medical Group Inc, a 328-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2006
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

3151 Crow Canyon Pl
San Ramon, CA 94583-1359
Phone: (888) 663-6331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4050 Dublin Blvd, Dublin, CA 94568-3112 — (925) 875-6100
  • 4050 Dublin Blvd, Dublin, CA 94568-3112 — (925) 875-6100
  • 3850 Grand Ave, Oakland, CA 94610 — (510) 225-1013

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A81826 (CA)

Record details

NPI number1639106610
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023
Mailing address1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice One Medical Group Inc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Ramon