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

Madison Ravine, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1679102800

Madison Ravine, DPM is a Podiatry in San Diego, California. Graduated from California School of Podiatric Medicine in 2020, 6 years ago. Practices with Sports Arena Podiatry Group Inc, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
6
Trained at
California School of Podiatric Medicine
Licensed in
MA
In the registry since
2020
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3405 Kenyon St Ste 502
San Diego, CA 92110-5008
Phone: (619) 225-9601
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1493 Cambridge St, Cambridge, MA 02139-1047 — (617) 665-1000

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 1516 (MA)

Record details

NPI number1679102800
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 8, 2020
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Sports Arena Podiatry Group Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Diego