NPIMap

Individual provider Active NPI

Ramon Arenas Guadiz, M.D.

  • Nephrology Physician
  • Lynwood, CA
National Provider Identifier
1003998147
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A72478 Issued in CA
Practice address
3625 Martin Luther King Jr Blvd
Suite 2
Lynwood, CA 90262-3509
Phone
(310) 638-0533
Fax
(310) 638-9171
NPI assigned
Oct 19, 2006
Last updated
Dec 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A72478 CA Primary

Addresses

Primary practice location

3625 Martin Luther King Jr Blvd
Suite 2
Lynwood, CA 90262-3509

Mailing address

3625 Martin Luther King Jr Blvd
Suite 2
Lynwood, CA 90262-3509
Phone (310) 638-0533

Other identifiers 1

IdentifierTypeStateIssuer
1609098003OtherCARENAL MEDICAL ASSOCIATES NPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050414000794 CA Practitioner - NeurologyPractitioner - Internal Medicine 1153319553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Medical AssociatesGroup PAC ID 6305812066, 3 clinicians

Practice addresses (Care Compare)

3625 Martin Luther King Jr Blvd
Suite 2
Lynwood, CA 90262-3509
Phone (310) 638-0533

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Mar 18, 2013 Accepting new patients
County of Los Angeles CurrentSince Mar 18, 2013 Accepting new patients
University of California Irvine Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
St Francis Medical Center Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Atlantic Avenue Medical Clinic Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Coast Plaza Doctors Hospital Past Accepting new patients

Locations

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1003998147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 2",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623509",
            "telephone_number": "310-638-0533",
            "fax_number": "310-638-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 2",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623509",
            "telephone_number": "310-638-0533",
            "fax_number": "310-638-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUADIZ",
        "first_name": "RAMON",
        "middle_name": "ARENAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A72478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENAL MEDICAL ASSOCIATES NPI NUMBER",
            "identifier": "1609098003",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.