Dr. Pravin Ravi Date, MD
Dr. Pravin Ravi Date, MD is an Internal Medicine in Canyon Country, California. Graduated from University of California, Geffen School of Medicine in 2011, 15 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 15
- Trained at
- University of California, Geffen School of Medicine
- Licensed in
- CA
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
27141 Hidaway Ave Ste 106Canyon Country, CA 91351-4135
Phone: (661) 803-4824
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence A147458 (CA) |
|---|---|
| Hospitalist Physician | Taxonomy 208M00000X · Licence A147458 (CA) |
Record details
| NPI number | 1871871053 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | July 22, 2011 |
| Last updated in NPPES | May 18, 2026 |
| Certification date | May 18, 2026 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE |
| Graduated | 2011 (15 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Canyon Country
-
Gods Promise Medical
17132 Nevette Ct, Canyon Country, CA 91387-3147 · (661) 373-8580