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

Dr. Raveen Thekkeurimbil Raviendran, MD

Individual provider Pediatric Critical Care Medicine Physician · NPI 1700081080

Dr. Raveen Thekkeurimbil Raviendran, MD is a Pediatric Medicine in San Diego, California. Qualified in 2001, 25 years ago. Practices with Rady Children's Hospital San Diego, a 161-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2007
Specialties on file
2
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

3020 Childrens Way
San Diego, CA 92123-4223
Phone: (858) 576-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3626 Ruffin Rd, San Diego, CA 92123-1810 — (858) 565-9666

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence A 108610 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A 108610 (CA)

Record details

NPI number1700081080
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2007
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Rady Children'S Hospital San Diego — 161 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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