Healthcare Provider Details

I. General information

NPI: 1538302997
Provider Name (Legal Business Name): RITVIK MEHTA, MD APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2009
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2390 FARADAY AVE
CARLSBAD CA
92008-7216
US

IV. Provider business mailing address

2390 FARADAY AVE
CARLSBAD CA
92008-7216
US

V. Phone/Fax

Practice location:
  • Phone: 858-909-0770
  • Fax: 858-909-0880
Mailing address:
  • Phone: 858-909-0770
  • Fax: 858-909-0880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberA93336
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RITVIK MEHTA
Title or Position: PHYSICIAN
Credential: MD
Phone: 858-909-0770