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Export Provider Record NPI 1033557574
Geetha Ravi ThakerD.O.
Active
NPI Number1033557574
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1033557574
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2013-06-06
Last Updated2026-01-26
Mailing Address1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
United States
Phone: (415) 658-6791 | Fax: (415) 520-0904
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Primary Practice Address8767 Wilshire Blvd Fl 3
Beverly Hills, CA 90211-2714
United States
Phone: (310) 385-6031
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207Q00000X – Family MedicineMI5101020676
Yes207Q00000X – Family MedicineCA20A14873
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About NPI 1033557574

Geetha Ravi Thaker D.O. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1033557574. The primary specialty listed is Family Medicine. The provider is located in Beverly Hills, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-06-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1033557574?

NPI 1033557574 belongs to Geetha Ravi Thaker D.O., a Family Medicine in Beverly Hills, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1033557574 active?

The current status of NPI 1033557574 in the NPPES registry is Active. The record was last updated on 2026-01-26.

What specialty is NPI 1033557574?

NPI 1033557574 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1033557574?

You can verify NPI 1033557574 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1033557574?

The primary practice address on file for NPI 1033557574 is 8767 Wilshire Blvd Fl 3, Beverly Hills, CA 90211-2714. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1033557574 issued?

NPI 1033557574 was first issued (enumerated) on 2013-06-06. The NPPES record was last updated on 2026-01-26.

Practice Location Map

Geetha Ravi Thaker is located at 8767 Wilshire Blvd Fl 3, Beverly Hills, CA. Use the map below to find directions or verify the practice location.

📍 8767 Wilshire Blvd Fl 3, Beverly Hills, CA 90211-2714  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Geetha Ravi Thaker. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1033557574. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family Medicine5101020676MI
Family Medicine20A14873CA
Data Verified from CMS NPPES Last synced: 2026-07-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162