DR. SVETLANA RAICHEL-STIVI (M.D.) – Family Medicine Physician, NPI 1679508675

DR. SVETLANA RAICHEL-STIVI (M.D.) is a healthcare provider. based in Newport beach, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. A062626 (CA). The NPI Number for DR. SVETLANA RAICHEL-STIVI (M.D.) is 1679508675

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. SVETLANA RAICHEL-STIVI (M.D.)
NPI
1679508675
Phone
(949) 557-0714
Address
4699 JAMBOREE RD
Enumeration Date
11 July 2006
Last Update Date
4 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
9495570951
Graduation Year
1995 (31 years ago)
PAC ID
4880602515
Group Practice PAC ID
3274872064
Professional Enrollment ID
I20060322000489
Address ID
CA926602504NE4699XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for DR. SVETLANA RAICHEL-STIVI (M.D.)

  • 4699 JAMBOREE RD

    NEWPORT BEACH, CA 926602526

    Phone: (949) 557-0714

    Type: Mailing

  • Santa Monica Boulevard, East Hollywood, Los Angeles, Los Angeles County, California, 90029-2105, United States

    WEST HOLLYWOOD, CA 900694496

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060322000489IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92660)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274872064View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCA
Family PracticeCA
Family PracticeVA
General SurgeryCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family PracticeCA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

Is there an official ID for DR. SVETLANA RAICHEL-STIVI (M.D.) in U.S. healthcare records?
The official identifier for DR. SVETLANA RAICHEL-STIVI (M.D.) is NPI 1679508675.
Is there an active status for DR. SVETLANA RAICHEL-STIVI (M.D.)?
For scheduling context, DR. SVETLANA RAICHEL-STIVI (M.D.) is shown as active in the registry.
How would a patient describe DR. SVETLANA RAICHEL-STIVI (M.D.)'s focus?
For DR. SVETLANA RAICHEL-STIVI (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SVETLANA RAICHEL-STIVI (M.D.)?
Directory geography for DR. SVETLANA RAICHEL-STIVI (M.D.) centers on Newport Beach, California.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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